City of Brockton
BROCKTON PUBLIC SCHOOLS
Kathleen A. Smith, JD Superintendent of Schools
Soraya I. de Barros, Director, School Registration and Parent Information Center
Phone (508) 580-7950 Fax (508) 580-7956
sorayaidebarros@bpsma.org

BROCKTON PUBLIC SCHOOLS REGISTRATION FORM


STUDENT INFORMATION

ADDRESS

PLACE OF BIRTH:

*****If the student is starting school for the first time in the U.S., please use the date of the FIRST day the student will attend school. Example: if you are registering in August for the 2017-2018 School Year, you may use 09-01-2017 in the date field below for the DATE STUDENT STARTED SCHOOL IN THE U.S.

ETHNICITY AND RACE CODE

Please choose only one:

Choose one or more:


FAMILY INFORMATION

CHILD LIVES WITH

EMERGENCY INFORMATION


OTHER CHILDREN LIVING IN THE HOUSEHOLD ATTENDING BROCKTON PUBLIC SCHOOLS


SCHOOL CHOICE:


If you would like to schedule a registration appointment, please select an option below:
REGISTRATION APPOINTMENT:

Attention Parents/Guardians

By filling out the School Registration Form your child is not registered, assigned, or enrolled into school. You must visit the School Registration and Parent Information Center at 60 Crescent Street, Brockton, to complete the registration process in order to receive a school placement.

A caseworker from our registration center will contact you to schedule an appointment to finish your registration. We will need at least 24 hours to process your form before contacting you. Please keep in mind that you will be asked to complete an emergency form and a lunch form as part of your child's registration file. Both forms are located on the School Registration Home Page for your peruse. Please feel free to print, fill out and bring them with you in order to streamline your visit.

Thank you.