Rockbridge Montessori 108 West Roosevelt Little Rock, AR 72206 Phone: 501-404-9549 Fax: 501-508-5740 This form MUST be returned by May 3, 2017 to be in the 2017-2018 lottery draw which will occur on May 5, 2017. Preference is given to Founding children, and siblings of current students. member’s children, Board Member’s A separate form must be filled out for each child you wish to enroll in the lottery. Student’s Name: First Middle Last Address: Student’s City: Zip: Social Security Number: Birth Day: Student’s Student’s Age: Gender (Male or Female) Student’s Grade for 2016-2017 school year School last Attended: Student’s Contact Information Parent/Guardian Names(s)
Rockbridge Montessori 108 West Roosevelt Little Rock, AR 72206 Phone: 501-404-9549 Fax: 501-508-5740 This form MUST be returned by May 3, 2017 to be in the 2017-2018 lottery draw which will occur on May 5, 2017. Preference is given to Founding member’s children, Board Member’s children, and siblings of current students. A separate form must be filled out for each child you wish to enroll in the lottery. Student’s Name: First Middle Last Student’s Address: City: Zip: Student’s Social Security Number: Student’s Birth Day: Student’s Age: Gender (Male or Female) Student’s Grade for 2016-2017 school year School last Attended: Contact Information Parent/Guardian Names(s)
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