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Lottery Registration
Thank you for your interest in HighMark Charter School for the 2015-2016 school year. Please fill out the below information and you will be notified once our lottery is open to apply for the 2015-2016 school year. This submission does not guarantee acceptance by HighMark Charter School.
Parent's Information
First Name:
Last Name:
Address:
Address:
City:
State/Province:
ZIP/Postal Code:
Phone:
Email:
Student Name and Grade
First Name
Last Name
Payment Information:
Processing Fee Rates:
Cards:
1%
eCheck:
Free
Method of Payment:
Credit/Debit Card
eCheck
Update Name from Above
Name on Account:
Routing Number:
Account Number:
Institution:
Name on Card:
Account Number:
Expiration Date:
Billing Street Address:
Billing ZIP/Postal Code:
Change Payment Method
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