Lottery Enrollment for the 2022/23 School Year
Please fill out this form to add your child to our enrollment waitlist for next school year.

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Email *
Student's Last Name *
Student's First Name *
What grade will your student be in next school year? (2022/23) *
This is the grade level lottery you are entering your child into.
Does the student have exempt lottery status? *
Do you have more than one child enrolling in the 2022/23 lottery? (If yes, please fill out this form for each child enrolling in the lottery) *
Does the student qualify for free or reduced lunch at their current school to qualify for our weighted lottery? Families can provide MMS a letter from their current school or come to MMS and fill out an economic data survey to see if they qualify before February 28, 2021 and receive two lottery numbers. *
Student Gender *
Student Date of Birth *
MM/DD/YYYY
Please verify your child's current grade.
Please check current school. *
What is/are the sibling(s) name, age and current grade?
Has the student been expelled from school within the past 12 months. (If yes, please explain) *
Parent/Guardian 1 FULL NAME *
Relationship to Student *
Parent/Guardian 1 Email Address *
Lottery form and results will be sent to the email address provided
Parent/Guardian 2 Email Address
Student Mailing Address (Street or PO Box) *
Student Mailing Address (City) *
Student Mailing Address (State) *
Student Mailing Address (Zip code) *
Student Physical Address If different from Mailing Address
Parent/Guardian 1 Home Phone (incl. area code) * xxx-xxx-xxxx *
Parent/Guardian 1 Mobile Phone (incl. area code) xxx-xxx-xxxx *
Parent/Guardian 1 Work Phone (incl. area code) xxx-xxx-xxxx
Parent/Guardian 1 Place Of Employment *
Is Parent/Guardian 1 mailing address the same as the Student? * if No, please complete the following sections *
Parent/Guardian 1 Mailing Address (Street or PO Box)
Parent/Guardian 1 Mailing Address (City)
Parent/Guardian 1 Mailing Address (State)
Parent/Guardian 1 Mailing Address (Zip code)
Parent/Guardian 2 FULL NAME
Relationship to Student
Parent/Guardian 2 Home Phone (incl. area code) xxx-xxx-xxxx
Parent/Guardian 2 Mobile Phone (incl. area code) xxx-xxx-xxxx
Parent/Guardian 2 Work Phone (incl. area code) xxx-xxx-xxxx
Parent/Guardian 2 Place Of Employment
Is Parent/Guardian 2 mailing address the same as the Student? if No, please complete the following sections
Parent/Guardian 2 Mailing Address (Street or PO Box)
Parent/Guardian 2 Mailing Address (City)
Parent/Guardian 2 Mailing Address (State)
Parent/Guardian 2 Mailing Address (Zip code)
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