CHANGE OF ADDRESS FORM

CHANGE OF ADDRESS FORM

Please complete this form to change your address.
PARENT/GUARDIAN NAME*

First NameLast Name
PARENT/GUARDIAN EMAIL
example@example.com
PARENT/GUARDIAN PHONE*
Please enter a valid phone number.Format: (000) 000-0000.
PREVIOUS ADDRESS*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Click here for a listing of STREETS & SCHOOL ZONES

Students moving to a new school outside of their school zone may remain at their current school until the end of the school year, though transportation will not be provided. After the school year ends, parents must apply for an out-of-zone placement if they wish to keep their child at the current school. Otherwise, a new school within the updated school zone will need to be selected.
PREVIOUS SCHOOL ZONE
NEW ADDRESS*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
NEW SCHOOL ZONE
HOW MANY BPS STUDENTS ARE IN YOUR HOUSEHOLD?

ONETWOTHREE
STUDENT'S NAME*

First NameLast Name
STUDENT'S DATE OF BIRTH*

MonthDayYear
Date
CURRENT SCHOOL*
CURRENT GRADE*
STUDENT ID NUMBER
DESIRED SCHOOL CHOICE 1*
* for current students only
DESIRED SCHOOL CHOICE 2*
* for current students only
STUDENT NAME #2*

First NameLast Name
STUDENT #2 DATE OF BIRTH *

MonthDayYear
Date
CURRENT SCHOOL #2*
CURRENT GRADE FOR STUDENT#2*
STUDENT ID NUMBER FOR STUDENT #2
DESIRED SCHOOL CHOICE 1 FOR STUDENT #2*
* for current students only
DESIRED SCHOOL CHOICE 2 FOR STUDENT #2*
* for current students only
STUDENT #3 NAME*

First NameLast Name
STUDENT #3 DATE OF BIRTH *

MonthDayYear
Date
CURRENT SCHOOL #3*
CURRENT GRADE FOR STUDENT#3*
STUDENT ID NUMBER FOR STUDENT #3
DESIRED SCHOOL CHOICE 1 FOR STUDENT #3*
* for current students only
DESIRED SCHOOL CHOICE 2 FOR STUDENT #3*
* for current students only
PARENT/GUARDIAN SIGNATURE*
You will be required to submit proof of residency (recent utility bill - gas, electric or cable, lease or mortgage statement) along with this form. Your name, address and date must be visible on your bill.*

BY DIRECT UPLOADBY EMAIL: studentrecords@bpsma.orgBY FAX: 508.580.7956BY TEXT: 508.649.3607IN PERSON: School Registration Office 60 Crescent Street Brockton, MA 02301 (document drop off window at the rear of the building)
UPLOAD PROOF OF RESIDENCY*

Cancelof
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