Lottery Application

Complete a separate application for each child applying. Applications will be accepted until Feb. 03, 2021. The Lottery will be Feb. 12, 2021 at 1PM (Feb. 19, 2021 rain day). You may also fill out the paper application form and hand-deliver or mail to: 1300 Herkimer Street, Baltimore, MD 21223

Student Information

Enrolled students must be residents of Baltimore City.

Last Name

First Name

Middle Name

Address

ZIP Code

Birth Date

Gender

Male

Female

Grade Applying for 2021-22 SY

Age on Sept. 1, 2021(K applicants only)

Current Grade

Current School

Sibling Information

List all siblings of the applicant that currently attend/ applying to SBCS. Siblings are defined as brothers/sisters who reside in the same household and share a common parent or are legally adopted or are the legal responsibility of the same parent. Proof of legal adoption/legal responsibility will be required at the time of enrollment.

Siblings Currently Attending SBCS

Siblings Currently Attending SBCS
Siblings Currently Attending SBCS

more items

Add the names of each sibling

Siblings Applying to SBCS

Siblings Applying to SBCS
Siblings Applying to SBCS

more items

Add the names of each sibling

Parent/Guardian Information

Parent(s)/Guardian(s) Name(s)

Relationship to child

Home Phone

(Please notify us immediately should your contact information change.)

Email Address

Parent Signature