Student Information

First Name*:

MI:

Last Name*:

Birthdate* (Month/Day/Year):

Address 1*:

Address 2:

City*:

State*:

Zip*:

Phone*:

Applying For Admission to Grade*:
---K1234

School Currently Attending:

Parent/Guardian Information

Who has the legal authority to apply for this child to attend Brighter Choice Charter School for Boys? *:
---MotherStepmotherFatherStepfatherLegal Guardian(s)

Guardian First Name*:

Guardian MI:

Guardian Last Name*:

Address 1*:

Address 2:

City*:

State*:

Zip*:

Home Phone:

Mobile Phone:

Work Phone:

Sibling Information

List the name, birth date, gender and September 2011 grade level of any siblings of the student applying to Brighter Choice:

Parent/Guardian Signature:

By clicking "Submit" on this online form,I hereby testify that the information provided on this BCCS admission application and the attached application for transportation are accurate and current.*  Yes

Type your name*:

Today's Date (Day/Month/Year)*:

Important Information Regarding Admission:

Completion of this form demonstrates your desire to enroll your child at the Brighter Choice Charter Schools. Upon admission, families of Brighter Choice students must provide two proofs of residency, parent/guardian picture ID, a copy of the student’s prior year academic record, birth certificate, and immunization record. A Student Registration Packet must also be completed.

Non Discrimination Statement

The Brighter Choice Charter School for Boys and the Brighter Choice Charter School for Girls are free public schools where the programs and activities shall be free from discrimination based on gender, sex, race, color, religion, ancestry, national origin, ethnic group identification, marital or parental status, physical or mental disability, sexual orientation or the perception of one or more of such characteristics.