Kennesaw Charter Science and Math Academy Lottery Enrollment Form for the 2018-2019 School Year
Interested families should only complete one form per child. Enrollment period is December 1, 2017 - January 31, 2018. Lottery random selection is February 7, 2018.
Email address *
Student's Full Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Grade Level for the 2018-2019 school year. *
Current School
Your answer
Are you entering siblings for KCSMA's K-5 school lottery? *
If yes, please enter name of sibling.
Your answer
If yes, please enter sibling's grade for the 2018-2019 school year.
Parent First Name *
Your answer
Parent Last Name *
Your answer
Street Address 1 *
Your answer
Street Address 2
Your answer
City *
Your answer
Zip Code *
Your answer
Primary Telephone # *
Your answer
Additional Comments
Your answer
A copy of your responses will be emailed to the address you provided.
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