2021-2022 Enrollment Form

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Email *

Parent/Guardian Information

Parents/Guardians First and Last Name: *

Street Address: *

City: *

State: *

Zip Code: *

Home Phone/Best Number to be Reached: *

Please include area code and dashes. Example 888-888-8888

Email Addresses: (Mom, Dad, and Grandparents) *

Can BCS Publish your Email Address in the School Directory? *

Yes

Is Parent #1 a member of a church? *

Yes

Is Parent #2 a member of a church? *

Yes

Home Church *

Non-Custodial Parent Information

Name:

Street Address:

City:

State:

Zip Code:

If any restrictions regarding contact of a non-custodial parent exists, please include that information below.

Student Information

How many students will you be enrolling at BCS? *

This is a PreKindergarten (Young 5's) through 8th grade enrollment form. Please only identify the number of students you will be enrolling in grades PreKindergarten through 8th grade. Threeschool and Preschool students are enrolled on a separate form.

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