PPPCS Enrollment 2020-2021
PRE-REGISTRATION/LOTTERY APPLICATION FORM
This form is for lottery purpose only and does not guarantee placement. *Please complete one form for each child you are applying for*
Email address *
Preferred language
Date of Application *
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/
DD
/
YYYY
Student Information
Student Last Name *
Your answer
Student First Name *
Your answer
Student Middle Name *
Your answer
Student Gender *
Student Date of Birth *
MM
/
DD
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YYYY
Your child must be 4 years old by 9/1/20 to enter Pre-K. *
Your child must be 5 years old by 9/1/20 to enter Kindergarten. *
Your acceptance into the school/lottery position is based on the grade level you specify. If you specify an incorrect grade level this could affect your position in the lottery. *
Which Grade are you applying for? *
Current school child is attending? *
Your answer
BCPS Student ID# (please leave blank if you are not sure)
Your answer
FAMILY INFORMATION
Parent/Guardian Last Name *
Your answer
Parent/Guardian First Name
Your answer
Street Address *
Your answer
APT#
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Home Phone *
Your answer
Work Phone *
Your answer
Cell/Pager *
Your answer
E-Mail Address
Your answer
You are responsible for maintaining current contact information with Patterson Park Public Charter School. *
ENROLLMENT PREFERENCES (put qualifying applicants at the head of the wait list)
Are you one of the founders of Patterson Park Charter School? *
Are you a member of the school staff? *
Do you have another child already enrolled at the school? *
* If yes, please tell us:
Name of sibling (Must be included)
Your answer
Grade level of sibling (Must be included)
Your answer
How did you hear about our school? *
APPLICATIONS DUE: Wednesday, FEBRUARY 5th at 5:00 pm
LOTTERY DATE: WEDNESDAY, FEBRUARY 12th at 9:00am
*** PPPCS will send you an email or letter to confirm receipt of your request. If you do not receive a confirmation within 2 weeks please call our main office.
A copy of your responses will be emailed to the address you provided.
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