Liberty Charter School
Lottery Waiting List Application
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Child's First Name *
Child's Last Name *
Child's Age *
Child's Grade For 2025-2026 School Year *
Child's Date of Birth *
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My Child is currently a student at Legacy Charter School? *
SIBLINGS CURRENTLY ENROLLED (MUST BE RELATED BY BIRTH, MARRIAGE, ADOPTION, FOSTER OR GUARDIANSHIP STATUS AND LIVING IN THE SAME HOUSEHOLD(S). (LEGAL DOCUMENTATION MAY BE REQUIRED)
Non-enrolled siblings also on the waiting list:
In order to better serve your child please let us know if he/she is currently on an IEP or other special needs program.
Has your child previously been expelled from a school? *
Is your child reading at or near grade level? *
I understand LCS does not socially promote students (Please acknowledge with Initials) *
Mother's First Name
Mother's Last Name
First Phone Number *
Father's First Name
Father's Last Name
Second Phone Number
Street Address *
City *
State *
Zip Code *
E-mail Address
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