Palouse Prairie Charter School Post-Lottery Application 2020-2021
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Email *
Student Grade *
Kindergarten
Student Last Name *
Student First Name *
Student Gender *
Student Date of Birth *
MM
/
DD
/
YYYY
Primary Household Parents'/Guardians' Names *
Primary Household Street Address *
Primary Mailing Address if Different
Primary Household City *
Primary Household State *
Primary Household Zip Code *
Primary Household Phone Numbers *
Primary Household Email Addresses *
Do you have a secondary household you would like to add? *
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