Legacy Charter School
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Legacy Charter School Lottery Form
(one form submission per student)
Child’s First Name:
*
Child's Last Name:
*
Siblings Currently Enrolled at Legacy Charter:
*
Birthdate:
*
Age:
*
Grade for 2011-2012
*
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
Submission Date
*
Gender
*
Male
Female
If your child is younger than school age, select the year he/she will enter Kindergarten (must be 5 years old by Sept. 1 of that year)
*
2011
2012
2013
2014
2015
2016
Address
*
City
*
Mother's Cell/Work Phone:
*
Home Phone
*
State/Zip
*
Mother's Name:
*
Father's Cell/Work Phone:
*
Parent Email
*
Father's Name:
*
Submit