Intent to Enroll - Platte River Academy - Waitlist

Intent to Enroll

Thank you for considering Platte River Academy. In order for your child to be included in our lottery selection, you must complete one Intent to Enroll form for each prospective student.

Kindergarten lottery is randomly drawn in December; grades 1st through 8th are drawn in March based upon grade level vacancies.

Family Information

Family Last Name

Address Line 1

Address Line 2

City

State

Zip Code

Parent Information

Parent Type

Phone 1

Phone 2

Address Line 1

City

Zip Code

First Name

Last Name

Email Address

Phone Type 1

Phone Type 2

Address Line 2

State

Primary Contact

Siblings

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