Lottery Registration
Email address *
Parents First and Last Name *
Your answer
Child's First and Last Name *
Your answer
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's Gender *
Grade Child will be Entering Next School Year *
Phone Number *
Your answer
Is your child a (responses will be verified) *
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Academy Charter School. Report Abuse - Terms of Service