2023-2024 Lottery Application - Sugar Creek Charter School

Sugar Creek Charter School

Application for 2023-2024 School Year

Please complete the following application for the 2023-2024 school year. If you have more than one child applying for the 2023-2024 school year, please submit another application.
Student Name (Enter student name as appears on their birth certificate)*

Last Name First Name & Middle Name
Grade applying for 2023-2024 academic year*
Date of Birth*

MonthDay Year
Gender*
Ethnicity (optional)
Student Home Language
Student Country of Birth
Student Home Address
Street Address*
City*
State*
Zip Code*
Student Mailing Address: (if different from home address)
Street Address
City
State
Zip Code
Student Home Phone Number*

Parent Information
Mother/Guardian Contact Information
Name
Cell Phone #
Home Phone #
Work Phone #
Email
example@example.com
Father/Guardian Contact Information
Father Name/Guardian
Cell Phone #
Home Phone #
Work Phone #
Email
example@example.com
List the school, grade level, and school location (city) your child is currently enrolled

Siblings Information
Siblings Currently Attending Sugar Creek Charter School

Please complete if your child has silblings current attending Sugar Creek Charter School.
Student Name
Current Grade
Student Name
Current Grade
Student Name
Current Grade

Sibling Information
Siblings Applying for Sugar Creek Charter School

Please complete if you have additional children applying for Sugar Creek Charter School.
Student Name
Grade Applying for
Student Name
Grade Applying for
Student Name
Grade Applying for

I would like to enter my child in the weighted lottery in the following category (choose all that apply). I understand that if my student is selected for a weighted lottery spot, I will be required to submit documentation to support the designation.

Qualify for Free or Reduced LunchEnglish as a Second Language
How did you hear about Sugar Creek Charter School?
I give Sugar Creek Charter School permission to text me regarding my application.

AgreeDisagree
Registration Agreement. I understand that by signing this form I am applying for enrollment for my child for the 2023-2024 academic school year. Acceptance is pending space availability. If your child's application is not pulled this year you will have to fill out a new application for the upcoming school year.

AgreeDisagree
Parent/Guardian Name
Parent/Guardian Signature

Clear
Should be Empty:

Parent Information