Boca Raton Charter School

Student Application

Boca Raton Charter School is a world authorized International Baccalaureate School that offers the Primary Years Program.

To apply please print this application, sign, date and send to the address listed below.

I. Student Application Form

Child’s Name

First__________________________________ Middle______
Last ______________________________________________
Address ___________________________________________
City__________________________State________Zip______

Gender ( ) Male ( ) Female

Soc. Sec. Number___________________________ Age_______

Date of Birth ______Place of Birth______________________
Home Language ___________________________________

Application for FY  2016/2017 ___ 

Grade Level: (Check one)
( ) Pre kindergarten [ age 3 or 4 and potty trained]
( ) Pre kindergarten 
Voluntary Pre-k  [ age 4 on or before
September 1st, FY___ 2016-2017 ]

( ) Kindergarten
    [must be age 5 on or before September 1st [FY 2016/2017] 
( ) 1st Grade ( ) 2nd Grade ( ) 3rd Grade
( ) 4th Grade ( ) 5th Grade 


II. Parent Information:

Mother Information:

Name _______________________________________
Address ______________________________________________
City ___________________________State______ Zip________

Phone Numbers and Contact Information:

Home(_____)_________________Alternate (_____)__________
Business (_____)_________________ Cell (_____)___________
Fax (_____)_____________ Email_________________________

Father Information:

Name __________________________________
Address______________________________________________
City____________________________State______ Zip_______

Phone Numbers and Contact Information:

Home (_____)_________________Alternate (_____)__________
Business (_____)_________________ Cell (_____)____________
Fax (_____)________________ Email ______________________

Phone Numbers and Contact Information:

III. Previous School:

( ) NA ( ) Public ( ) Private ( ) Home School

International Baccalaureate ( ) Yes ( ) No

Current School or Designated Palm Beach County School

Name of School ______________________________________
Address____________________________________________
City ____________________ State ________Zip _________

Does your child have an L.E.P. Plan? Yes ___ No ____
(Limited English Proficiency)
Is a language other than English spoken at home?
Spanish __ Portuguese ___ French ___ Creole ___
Other _________________________________

Does the student have a first language other than English?              Yes ___ No ____

Does the student most frequently speak a  language other than English?   Yes ___ No ____

Previous School: Contact Information

Telephone Number(____)_______________________________
Fax Number (____)_____________________________________

Grade Level attending in  _______ 2016-2017

Parent/Guardian Signature___________________________ Date:____________________

Print and complete this form.
Mail to the school at the address below.

Boca Raton Charter School  * 6001 Park of Commerce Blvd.* Boca Raton, Florida  33487

Or you can scan and email your application to [email protected]