Santa Rosa Charter School for the Arts  Lottery Application
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Student's legal first name *
Student's legal last name *
Student's Birth Date *
MM
/
DD
/
YYYY
Student's street address *
Student's mailing address (if different)
Main Phone *
Is the student a twin? *
If yes, legal name of twin
SRCSA Charter Sibling *
Sibling Enrollment Year
Grade Level Applying For: *
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