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LEAD Lottery Entry- Formulario de Lotería Elementary Please complete one form per family/household. Only list children that you would like to participate in this program. This form must be returned to the campus front office or homeroom teacher by 3:00pm on Friday September 1, 2017 to be eligible for the lottery. Forms received after Friday 9/1 will be automatically placed on the waiting list. The lottery will take place on the morning of Tuesday September 5th, 2017 and families will be notified of their acceptance in writing that Tuesday.. Wait List students will be notified as space becomes available. Por favor, complete un formulario por familia / hogar. Sólo una lista de los niños que le gustaría participar en este programa. Este formulario debe ser regresado a la oficina de la escuela o la maestra antes de las 3:00 pm del viernes 1 de septiembre 2017 para ser elegible para la lotería. Los formularios recibidos después del viernes 9/1 se colocarán automáticamente en la lista de espera. La lotería será en la mañana del martes 5 de agosto 2017 y las familias serán notificados de su aceptación por escrito ese martes. Los estudiantes de la lista de espera será ser notificado cuando espacio esté disponible. NAME OF STUDENT Nombre 1st Child NAME OF STUDENT Nombre 2nd Child NAME OF STUDENT Nombre 3rd Child NAME OF STUDENT Nombre 4th Child NAME OF STUDENT Nombre 5th Child NAME OF STUDENT Nombre 6th Child
(last/apellido)
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(last/apellido)
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PRIMARY PARENT/LEGAL GUARDIAN /NOMBRE DE PADRE (full name/nombre completo) PRIMARY CONTACT/CONTACTO INFO: (tel #1) SIGNATURE/FIRMA:
(tel #2)
(email) DATE/FECHA:
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