Timpanogos Academy Lottery Registration Form 2023-2024 School Year

Timpanogos Academy Lottery Registration Form 2026-2027 School Year

Fill out the form carefully for enrollment in the Lottery
Family Information
Today's Date*

MonthDayYear
Date
Parent 1 Name*

First NameLast Name
Parent 2 Name

First NameLast Name
Student's Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Main contact Email*
example@example.com
Phone Number*

Area CodePhone Number
Mobile Number

Area CodePhone Number
I understand that this form is for the Lottery Open Enrollment period for the NEXT school year (2026-27). I understand that the window for Lottery applications will close (at 11:59pm on Monday, Feb 2nd, 2026) and that the Lottery will be "pulled" in mid to late February of 2026.*

Yes
If we have a current opening available for THIS current school year (2025-26) in your student's grade, are you interested in being notified of that opening and offered that position for your student to begin attending THIS school year?*

Yes, I would be interested.No, I am only interested in NEXT school year.
Do you currently have any children enrolled in Timpanogos Academy?*

YesNo
If YES
What is the first and last name of the OLDEST enrolled student?

First NameLast Name
Have you had any students who previously attended and graduated from our highest Grade?

YesNo
If YES, What is the first and last name of the graduated student(s) and what year did they graduate from our highest grade?
NEW Student Information

(to be added to the Lottery for admission):
Student #1: Name

First NameLast Name
Student #1: Date of Birth

MonthDayYear
Date
Student #1: What Grade is this student in CURRENTLY? (2025-2026 school year)
Example: 3rd Grade
Student #1: What Grade will this student be in NEXT YEAR? (2026-2027 school year)
Example: 3rd Grade
Student #2: Name (Note: If you do not have any additional students, skip to the bottom of this form and select the "Submit Application" button)

First NameLast Name
Student #2: Date of Birth

MonthDayYear
Date
Student #2: What Grade is this student in CURRENTLY? (2025-2026 school year)
Example: 3rd Grade
Student #2: What Grade will this student be in NEXT YEAR? (2026-2027 school year)
Example: 3rd Grade
Student #3: Name (Note: If you do not have any additional students, skip to the bottom of this form and select the "Submit Application" button)

First NameLast Name
Student #3: Date of Birth

MonthDayYear
Date
Student #3: What Grade is this student in CURRENTLY? (2025-2026 school year)
Example: 3rd Grade
Student #3 : What Grade will this student be in NEXT YEAR? (2026-2027 school year)
Example: 3rd Grade
Student #4: Name (Note: If you do not have any additional students, skip to the bottom of this form and select the "Submit Application" button)

First NameLast Name
Student #4: Date of Birth

MonthDayYear
Date
Student #4 : What Grade is this student in CURRENTLY? (2025-2026 school year)
Example: 3rd Grade
Student #4 : What Grade will this student be in NEXT YEAR? (2026-2027 school year)
Example: 3rd Grade
Please Verify*
Should be Empty:

Timpanogos Academy Lottery Registration Form 2026-2027 School Year

Family Information

NEW Student Information