This form should ONLY be used for grade 6 and 7 students who reside in West Hartford and are NOT currently attending Bristow Middle School.

Please complete one form per student applying for admission.

Grade 7 and 8 lottery applications are due March 19, 2021

Student Information

First Name

Middle Name

Last Name

Applying for which grade at Bristow in the 2021-22 School Year

Grade 7

Grade 8

Student's Current School

Other school name

Current Student Address

City

West Hartford

State

Zip Code

Parent / Guardian 1 Information

Parent/Guardian 1 Daytime Phone

Parent/Guardian 1 Evening Phone

Parent/Guardian 1 Cell Phone

Parent/Guardian 1 Email Address

Parent/Guardian 1 Relationship to Student

Parent / Guardian 2 Information

Parent/Guardian 2 Daytime Phone

Parent/Guardian 2 Evening Phone

Parent/Guardian 2 Cell Phone

Parent/Guardian 2 Email Address

Parent/Guardian 2 Relationship to Student

Ready to Submit

Please note: This lottery application is only for grade 6 and 7 students who do NOT currently attend Bristow Middle School.

This lottery is open only to students who are West Hartford residents. If your student attends King Philip Middle School or Sedgwick Middle School, you will not need to establish residency if your student is selected in the lottery.

If your student does not attend West Hartford Public Schools and is selected in the lottery, you will need to register your student and prove residency with WHPS before the space can be assigned to your student.

For more details on the residency requirements for WHPS, please visit the residency website.

If you have any questions, please call Bristow Middle School at 860-231-2100.

A receipt of submission will be sent to the Parent/Guardian 1 email address. If you do not receive the email after 24 hours, please be sure to check your spam folder.