Online Registration Form

Francis W. Parker Charter Essential School

49 Antietam St, Devens, MA 01434, United States of America

(978) 772-3293

Notes About Completing this Registration Form:

Parker uses the information provided on this form when submitting related documentation to the Commonwealth.
Your accuracy in providing correct information is appreciated.
Please complete one Registration Form for EACH child.
Please use the applicant's FULL legal name where indicated - no initials. If there is no middle name, enter "NMN".
Please do NOT use ALL CAPS.
Be sure to enter your initials in the DNP field if you do NOT want contact information to be published in the School Directory or on the Carpool List.
Please enter the date at the bottom of the page, or the form will not submit. After your submission, please wait until you are taken to the confirmation page before closing your browser. You will also receive an email.

Francis W. Parker Charter School Registration
School Year 2023-2024

Online Registration Form

Applicant's Name

Student's LEGAL Name (Name as reflected on Birth Certificate):

LEGAL First Name:

LEGAL Middle Name (no initials - enter "NMN" if no middle name):

LEGAL Last Name:

Gender: (requied)

Birth Date: (required)

Current Grade: (required)

Home Street Address: (required)

Town *

Zip Code *

NAME of Current School AND Complete Address *

Current School District: (required)

Type of Schooling: (required)

Does this applicant have a sibling *currently enrolled* in the Parker School? (required)

If YES: What is the sibling's name?

What is the sibling's current grade?

Does this applicant have a sibling *also applying* to the Parker School? Select "Yes" or "No" *

If YES: What is the sibling's name?

What is the sibling's current grade?

Household #1 (where student resides most of the time)

Household #1 (where student resides most of the time)

Please enter name(s) and address(es) of all parents or guardians (even if same as above):

Street *

Town *

Zip Code *

Parent/Guardian 1

Parent/Guardian 1

Parent/Guardian 1 Full Name: *

Relationship to child *

Email *

Home Phone

Cell Phone

Work Phone

Parent/Guardian 2 (optional)

Parent/Guardian 2 (optional)

Parent/Guardian 2 Full Name:

Relationship to child

Email Address

Home Phone

Cell Phone

Work Phone

Household #2 (if applicable)

Household #2 (if applicable)

Street

Town

Zip Code

Parent/Guardian 1

Parent/Guardian 1

Parent/Guardian 1 Full Name (household 2)

Relationship to child

Email Address

Home Phone

Cell Phone

Work Phone

Parent/Guardian 2 (optional)

Parent/Guardian 2 (optional)

Parent/Guardian 2 Full Name (household 2)

Relationship to child

Email Address

Home Phone

Cell Phone

Work Phone

Space

Signature of Parent of Guardian (full name of person completing this form) *

Date *

Parker does not discriminate on the basis of race, color, national origin, creed or religion, sex, gender identity, ethnicity, sexual orientation, mental or physical disability, age, ancestry, athletic performance, special need, proficiency in the English language or a foreign language, or prior academic achievement. Any and all information requested in the application, such as language spoken at home or race/ethnicity, is not intended to and will not be used to discriminate. Per regulations, applications for students who do not enroll at Parker in the upcoming year will be destroyed approximately 18 months after the lottery date. Applications for enrolled students become part of their temporary student record. All applicants have the right to request a copy of the documents to be destroyed prior to their date of destruction.

49 Antietam St, Devens, MA 01434, United States of America

(978) 772-3293

Fax: 978-772-3295

Notes About Completing this Registration Form:

Francis W. Parker Charter School RegistrationSchool Year 2023-2024﻿

Online Registration Form

Francis W. Parker Charter School Registration
School Year 2023-2024