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Bridgeport Hope School
2018-2019 Application for Admission

Please fill out all required fields below.
Alternatively, you can print and fill out the mail application then send it to our address at
283 Lafayette Street Bridgeport, CT 06604 USA

Spaces are currently available in Kindergarten-Fourth Grade. Applicants for other grades will be placed on a waiting list.

Please note that for admission into Kindergarten, the child must turn 5 by December 1st.




*=REQUIRED
Child's Info
Name *
Name
Gender *
Date of Birth *
Date of Birth
Parent/Guardian's Info
Name *
Name
Cell *
Cell
Secondary Parent/Guardian's Info
Name
Name
Cell
Cell
Child's Home Address
Street *
Street
Phone
Phone
Child's Current School
Address
Address
Phone
Phone
Additional Info
If yes, explain here. If no, type "N/A"
Has your child ever had any educational testing done? *
Date given:
Date given:
Application Fee *
A non-refundable $25 application fee is due with this form. After the submission of this form, payment must be sent as a check in the mail to: "283 Lafayette Street, Bridgeport, CT 06604 USA" or via paypal.com to: "contact@bridgeporthopeschool.org" (Your name and the reason for the payment must be put in the paypal comment box.) You may also come in to the school and pay via cash, check, or credit card. This application is not valid and will not be considered until payment is received.

Bridgeport Hope School
283 Lafayette Street
Bridgeport, CT 06604
www.bridgeporthopeschool.org