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Bridgeport Hope School
2015-2016 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

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




*=REQUIRED
Child's Name *
Child's Name
Child's Gender *
Child's Date of Birth *
Child's Date of Birth
Parent/Guardian's Name *
Parent/Guardian's Name
Secondary Parent/Guardian's Name
Secondary Parent/Guardian's Name
Home Address *
Home Address
Home Phone
Home Phone
Parent/Guardian's Cell *
Parent/Guardian's Cell
Secondary Parent/Guardian's Cell
Secondary Parent/Guardian's Cell
School's Address
School's Address
School's Phone
School's Phone
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