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]