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Lottery Application 2021-22
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Email
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Your email
Student First Name
*
Your answer
Student Last Name
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Date of Birth
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DD
/
YYYY
Grade Entering Next Year
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Student Street Address
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City
*
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Zip
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Preferred Daytime Phone Number
*
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Guardian 1 Name
Your answer
Guardian 2 Name
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List any siblings also applying for 2021-22 and their grade level
NOTE: Separate applications are required for each student
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Do you qualify for free or reduced lunch?
Renaissance Arts Academy offers priority to students qualifying for the National School Lunch Program.
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