Please fill out a separate form for each child you wish to enroll in the school. Filling out this form enters you in the enrollment lottery, but does NOT guarantee a spot in the school.

Willow Public School will never collect or share with any State or Federal agency any information related to the immigration status of any student, parent, or family member of the school.

If a lottery is necessary, students who meet certain requirements receive extra "tickets". Students who participate in the lottery with a preference and are selected for a spot in the school must provide evidence for that preference (this will be done after the lottery). Students who cannot show evidence for the preference will lose their spot in the school and placed at the end of the wait list. The preference questions are indicated below.

Please call the school if you have any questions. For questions in English call Dan Calzaretta at (509) 593-0821. For questions in Spanish call Linda Solis at (509) 200-5347.

Parent Name *
Parent Name
Relationship to student *
Parent Mobile Phone
Parent Mobile Phone
Parent Home Phone
Parent Home Phone
Student Name *
Student Name
Student Home Address *
Student Home Address
All students living in Washington state are eligible to attend Willow Public School, regardless of address or school district boundary.
Student Gender *
Student Date of Birth *
Student Date of Birth
Grade *
What grade will your child enter in August 2018?
What school does the student attend now?
Free & Reduced Meals *
Is the student enrolled in the Free and Reduced Meal Program at their current school?
Snap *
Is the student's family enrolled in the Supplemental Nutrition Assistance Program (SNAP)?
TANF *
Is the student's family enrolled in the Supplemental Nutrition Assistance Program (SNAP)?
LIHEAP *
Is the student's family enrolled in the Washington Low Income Home Energy Assistance Program (LIHEAP)?
Other form of assistance not listed above:
Parent Education *
Have BOTH parents or guardians GRADUATED from a four-year college or university?
SBAC Math *
Did the student meet standard on the state SBAC Math assessment (taken in the spring of last year)?
SBAC Math *
Did the student meet standard on the state SBAC English/Language Arts assessment (taken in the spring of last year)?
Sibling *
Does the student have a sibling applying for the 2018-19 school year? (Willow defines "sibling" as having one common parent.) What grade will the sibling be entering in 2018-19?
Sibling name *
Sibling name
If yes, what s the sibling's name?
Sibling Date of Birth
Sibling Date of Birth
If YES, what is the sibling's date of birth?
Staff Member *
Is the student a child of a full-time Willow Public School staff member?
Staff Member Name
Staff Member Name
If "yes" to the question above, who is the staff member?