Witty way Chars Elementary School ‘Random Pablle Drawing/Lotary Applicaton 2088-2019 Student Information: Last Name: First Name: MI 008: Gender: _Male Female Current Grade in school: Grade entering in Fall 2018: Current schoo! of attendance: Do you live in LAUSO's boundaries? Parent/Guardian Information: Last Name: First Name: Relationship to child ‘Address of the child's residence: Home Phone Cell Phone Your child's random public drawing lottery 1D number is This number will be used during the random public lottery instead of your child’s name, After the drawing, your child's waitist position will be pasted on www.welbyway.org using this 1D number, instead of your child's name, Signature of Parent/Guardian acknowledging that you have read the information: suanennusnanseneenenenseetsessEOR SCHOOL USE ONLY™ tion: Received on at by