ROCS 2021-2022 Lottery Application -Parent/Contact Information
Please complete and submit ONE application per family.
Each application has space for five children.
Once you include all the children you wish to enroll, click next until you reach "Additional Questions."
The deadline to submit applications is 11:59 pm on Sunday, January 31, 2021.
Applications that do not include a North Carolina address will be removed.
Applicants who do not meet the minimum age requirement will be removed.
Email address *
Confirm Email Address *
First Name of Parent/Primary Contact *
Last Name of Parent/Primary Contact *
Phone Number of Parent/Primary Contact *
Street Address *
City *
Zip Code *
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