BRYAN ELITE CHARTER

BRYAN ELITE CHARTER SCHOOL REGISTRATION

SCHOOL PLANS TO OPEN JULY 2017 PENDING STATE APPROVAL

LAST NAME *

FIRST NAME *

MIDDLE NAME *

DATE OF BIRTH * +

AGE *

CURRENT GRADE *

GRADE APPLYING FOR *

FATHER'S NAME *

TELEPHONE # *

EMAIL ADDRESS *

HOME ADDRESS *

CITY *

ZIP CODE *

MOTHER'S NAME *

TELEPHONE # *

EMAIL ADDRESS *

HOME ADDRESS *

CITY *

ZIP CODE *

WITH WHOM DOES THE STUDENT LIVE *

FATHER	MOTHER
BOTH	OTHER OTHER

PERSON COMPLETING APPLICATION *

TODAY'S DATE * +

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BRYAN ELITE CHARTER SCHOOL admits students of any race, color, national and ethnic origin to all the rights, privileges, programs, and activities generally made available to students of the school. BRYAN ELITE CHARTER does not discriminate on the basis of race, color, national or ethnic origin, in administration of its educational policies, admission's policies, nor any other school administered programs.