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.
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 address within their zone may continue attending their current school.
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*

Clear
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: 774.297.3627IN 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
Should be Empty: