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Lottery Application 2017-2018

Fieldset

Student Last Name *

Student First Name *

Birth Date *

Kindergarten birth date on or before 9/1/2012

Gender *

Male

Female

Grade your child will be in for the 2017-18 School Year *

Parent/Guardian Last Name *

Parent/Guardian First Name *

Address *

No PO Box-for geographic purposes
Enter "none" if apt or suite # is not applicable

Apt, suite, etc.

Country

City

State

Zip code

Best Contact # *

Other Contact # *

Best Email Address *

Note most contact will initiate via e-mail

List any siblings currently enrolled at Vista or Tuacahn High School, please designate with THS if they are a Tuacahn High School student.

List any siblings interested in attending Vista for the 2017-18 school year - K-8th grade.

(Include the grade they will be in for the 2017-18 school year.) This is NOT a registration for them, as you MUST fill out a new enrollment form for each student.

Check all that apply *

Transferring from a district school

Transferring from out of state

New to the city

Have previously attended a charter school

None of the above

Why did you choose Vista?

Birth Certificate *

Please upload a copy of student\'s birth certificate. (The following files are accepted: tif, jpg, jpeg, pdf, doc, docx)

Immunization Records *

Please upload a copy of students Immunization Record (The following files are accepted: tif, jpg, jpeg, pdf, doc, docx)