Earl Monroe New Renaissance Basketball Charter School Lottery Registration

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Name (First and Last)/ Nombre Apellido *

Date of Birth/Fecha de Nacimiento *

YYYY

Gender/Género *

Male

Female

Other:

Student Address (Street address, City, State & Zip)/Dirección de Domicilio *

School District of Residence/Distrito Escolar de Domicilio *

CSD 8

Not Sure

Other:

Grade Applying for 2021-22/Grado para el que estás solicitando en 2021-22 *

9th

Does the applicant have a sibling applying? If so, enter their name./¿El solicitante tiene hermanos para los que usted también desea solicitor? En caso afirmativo, ¿cuál es el nombre? *

Parent/Guardian Name (First, Last)/Madre/Padre/Guardiana/Guardián *

Relationship to Student/Relación con la/el estudiante *

Parent/Guardian Phone Number(s)/Número telefónico *

Parent/Guardian Email Address(es)/Dirección de Correo Electrónico *

How did you find out about our school? *

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