Date of Last Upload: Wednesday, September 20, 2023 Student Enrollment Form

   New Student Information
Select the Submit Application tab after you have filled in all information including students, primary and secondary family, and emergency/contacts. Use the tab buttons to select the pages to fill in the information. Required fields are bold.

Student 1

*Last Name*First Name*Middle Name*Preferred Name*Date of Birth (mm/dd/yyyy)SuffixTitle*Church Affiliation (or select "None")*Gender*Ethnicity*Home E-Mail*Grade Level*Student Social Security Number*Student Resides With*Other children
*Reason for applying to BCA*Person referring you to BCA*How did you hear about BCA
In the case of an accident, BCA is authorized to perform the following:Prescription medicine taking