Patterson Park Public Charter School
Lottery and Waitlist Application for School Year 2021-2022
Email *
Preferred language
Date of Application *
MM
/
DD
/
YYYY
Student Information
Student Last Name *
Student First Name *
Student Middle Name *
Student Gender *
Student Date of Birth *
MM
/
DD
/
YYYY
Your child must be 4 years old by 9/1/21 to enter Pre-K. *
Your child must be 5 years old by 9/1/21 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?
BCPS Student ID# (please leave blank if you are not sure)
FAMILY INFORMATION
Parent/Guardian Last Name *
Parent/Guardian First Name *
Street Address *
APT#
City *
State *
Zip Code *
Home Phone *
Work Phone *
Cell/Pager *
E-Mail Address *
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?
Clear selection
Are you a member of the school staff?
Clear selection
Do you have another child already enrolled at the school?
Clear selection
* If yes, please tell us:
Name of sibling (Must be included)
Grade level of sibling (Must be included)
How did you hear about our school? *
APPLICATIONS DUE (to be included in lottery): Wednesday, FEBRUARY 3rd at 5:00 pm
LOTTERY DATE: WEDNESDAY, FEBRUARY 10th at 9:00am
You will receive a confirmation email upon turning in your application. If for some reason you do not receive this email, please email enrollment@pppcs.org or reach out to our Front Office at 410.558.1230 during our normal hours, Monday-Friday 8AM to 3PM.
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy