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High Tech Los Angeles Middle School
This form enters your student into High Tech Los Angeles Middle School's admissions lottery for 6th, 7th, or 8th grade. Submitting this form does NOT obligate your child to attend HTLA Middle School, nor does it guarantee admission.
schoolId
Parent_relationship
preferred_contact
source
language
Which school year are you interested in?
Please Select
2022-2023
2023-2024
leadid
Which school year are you interested in?
*
2022-2023
2023-2024
How did you hear about us?
Please Select
Schola
Friend
Family Member
Social Media
Search Online
School event
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Next
Student Information
Are you a current HTLA student?
*
Yes
No
Student Name
*
First Name
Middle Name
Last Name
Student's Date of Birth
*
-
Month
-
Day
Year
Date
Grade in {year} school year
*
Please Select
6
7
8
Does this student have a sibling that currently attends HTLA MS?
*
Please Select
Yes
No
Siblings name
Current School Attending
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Parent/Legal Guardian Information
Parent/Legal Guardian Name
*
First Name
Last Name
Relationship to student
Mother
Father
Legal Guardian
Foster Parent
Other
Primary Residence Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
If you do not have a phone number, write (100)-000-0000
Email
*
If you do not have a email, write NotApplicable@gmail.com
Signature of parent or legal guardian
*
Preferred Language
English
Spanish
Other
This form may be used to support HTLA Middle School's request for facilities pursuant to Proposition 39 (California Education Code section 47614). By submitting this form, you are indicating that you are meaningfully interested in enrolling or re-enrolling (as applicable) your child/children in HTLA Middle School's classroom-based program during the {year} school year.
*
Submit
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