2025-2026 Anansi Enrollment Lottery Application

ANANSI CHARTER SCHOOL
Enrollment Lottery Application

Completion of this form does not prevent or guarantee

a student's enrollment in Anansi Charter School.

For more information, please call Anansi Charter School at (575)776-2256 ext 0.
Student Name:*

First NameMiddle NameLast Name
Student Name:
Date of Birth:*

MonthDayYear
Date
Name of School student is currently attending (if any):
Students Current Grade Level:*
**Please note: A child must be 5 years old on or before August 31, 2025 in order to enroll in Kindergarten
Check Grade Level Applying for Next School Year (2025-2026):*

Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade
Students Physical Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Students Mailing Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian #1 Name:*
Parent/Guardian #1 Home Phone:*
Parent/Guardian #1 Work/Cell Phone:*
Parent/Guardian #1 Email:*
example@example.com
Parent/Guardian #2 Name:
Parent/Guardian #2 Home Phone:
Parent/Guardian #2 Work/Cell Phone:
Parent/Guardian #2 Email:
example@example.com
Do you have any other children entering the lottery for the 25-26 school year?*

YesNo
If yes, list siblings names/grades:
**Please note that a separate Enrollment Lottery Form must be filled out for EACH individual student.

By signing below, I certify that I am the parent or legal guardian of the student named in the application and that all information provided is true and correct to the best of my knowledge.
ParentGuardian Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

ANANSI CHARTER SCHOOL

**Please note: A child must be 5 years old on or before August 31, 2025 in order to enroll in Kindergarten