Enrollment Lottery 2021-22 Question Title * 1. Student Name OK Question Title * 2. Date of Birth Date / Time Date OK Question Title * 3. Grade Level in 2021-22 OK Question Title * 4. Address OK Question Title * 5. City/Town OK Question Title * 6. State/Province OK Question Title * 7. ZIP / Postal Code OK Question Title * 8. Phone Number OK Question Title * 9. Email Address OK Question Title * 10. For informational purposes, is your student interested in attending On-Site classes? Yes No OK DONE