Lottery Application 2021-22
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Email address *
Student First Name *
Student Last Name *
Date of Birth *
Grade Entering Next Year *
Student Street Address *
City *
Zip *
Preferred Daytime Phone Number *
Guardian 1 Name
Guardian 2 Name
List any siblings also applying for 2021-22 and their grade level
NOTE: Separate applications are required for each student
Do you qualify for free or reduced lunch?
Renaissance Arts Academy offers priority to students qualifying for the National School Lunch Program.
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