Broward Cooperative Educational Program
Welcome to Broward Cooperative Educational Program!

(REGISTRATION IS CLOSED FOR THE 2019-2020 SCHOOL YEAR.  PLEASE CHECK BACK AGAIN IN THE SPRING OF 2020).

This online registration is for class selection only. Your spot is only guaranteed once we have verified your PSG membership, instructors have approved your placement (for Math & English classes) and registration forms, fees, and deposits have been submitted. To finish the registration process, please email us at browardcoop@gmail.com or call Gloria Ortiz at (954) 600-8787 / Alba Mulet at (954) 907-4501.  
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Student First Name *
Student Last Name *
Date of Birth *
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Grade Entering Fall of 2019 *
Home Address (Please include City, State & Zip Code) *
Student Cell Phone Number *
Student Email *
Mother's Name *
Mother's Phone Number *
Mother's Email *
Father's Name *
Father's Phone Number *
Father's Email *
Emergency Contact Name *
Relationship to Student *
Emergency Contact Phone Number *
What church do you attend? *
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