Three Rivers Charter School 2019-20 Student Admissions Information
Directions: Please fill out this application completely and accurately. Completed forms must be submitted by Wednesday, May 29th by 4:00 pm to be eligible for the TRCS lottery for the 2019-20 school year. Any submissions after this time will be placed on the post-lottery wait list in order of date and time received.

Admission by public lottery to be held on May 30, 2019 at 4:00 pm at Three Rivers Charter School.

Please call our office at 503-673-7850 or email us at office@3rcs.org to verify we have received your admissions information.

Email address *
Student Information
Student First Name *
Your answer
Student Middle Name *
Your answer
Student Last Name *
Your answer
Gender *
Birthdate *
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/
DD
/
YYYY
Grade Entering Fall 2019 *
Street Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip: *
Your answer
Parent Information
Parent 1 First Name *
Your answer
Parent 1 Last Name *
Your answer
Parent 1 Email *
Your answer
Parent 1 Address *
Your answer
Parent 1 Primary Phone Number *
Your answer
Parent 1 Secondary Phone Number *
Your answer
Parent 2 First Name
Your answer
Parent 2 Last Name
Your answer
Parent 2 Email
Your answer
Parent 2 Address
Your answer
Parent 2 Primary Phone Number
Your answer
Parent 2 Secondary Phone Number
Your answer
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