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.

Thank you for your interest in Mountain Middle School.
Sign in to Google to save your progress. Learn more
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)
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Mountain Middle School. Report Abuse
Google Forms