If you are human, leave this field blank.Lottery Application RequestDeadline for applications is March 5th. Lottery will be held March 12th.Term *Select school year you are interested in2021/20222022/2023Learner InfoLast Name - Learner *First Name - Learner *Grade Entering - Learner *Enter grade entering K123456Bus *Would your learner need to the ride the bus?YesNo Learner AddressStreet Address *City *State *Zip * Parent or Guardian InformationLast Name - Parent or Guardian *First Name - Parent or Guardian *Email - Parent or Guardian *Cell Phone - Parent or Guardian *MessageIs there anything you would like us to know about your learner? Captcha *reCAPTCHA is required.Submit
