Registration Form

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.
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 2025-2026

Online Registration Form

Student's Grade for coming school year:

Legal Name

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

Legal First Name:

Legal Middle Name (enter NMN if no middle name):

Legal Last Name:

Preferred Name (if different than legal first name):

Home Street Address:

Mailing Address (if different from home street address):

Town

Zip Code

Student's Birth Date:

Student Gender:

Student's Town of Birth:

Home School District:

Student's Cellphone (or N/A):

Prior School (last year):

Legal Parent/Guardian (1)

Legal Parent/Guardian (1)

Full Name:

Street Address:

City:

Zip:

Email:

Primary Phone:

Work Phone:

If custody is split, list percentage of custody for this legal parent/guardian (provide further explanation below, if needed):

Send mail to this address:

Legal Parent/Guardian (2)

Legal Parent/Guardian (2)

Full Name:

Street Address:

City:

Zip:

Email:

Primary Phone:

Work Phone:

If custody is split, list percentage of custody for this legal parent/guardian (provide further explanation below, if needed):

Send mail to this address:

Note

Enter your free text here

1) Student's Race/Ethnicity:

2) Please check of all that apply:

White (01-33)

Native American/Alaska Native (04-36)

Black/African American (02-34)

Pacific Islander (05-37)

Asian (03-35)

3) Primary language spoken by student at home:

Low Income

4) Does your family qualify as “Low Income” based on federal guidelines (yearly income under $59,478 for a family of 4; ask for info for other family sizes)? ***Please note: Additional documentation is required to enroll in lunch program.***

Low Income Yes/No

Military

5) Does your family qualify as a “Military Family” as defined by the VALOR Act?

Active duty members of the uniformed services. “Active duty” refers to full-time duty status in the active uniformed service of the United States, including members of the National Guard and Reserve on active duty orders. “Uniformed services'' means the Army, Navy, Air Force, Marine Corps, Coast Guard, including the Commissioned Corps of the National Oceanic and Atmospheric Administration, and Public Health Services?

Members or veterans of the uniformed services who are severely injured and medically discharged or retired for a period of one year after medical discharge or retirement?

Members of the uniformed services who died on active duty or as a result of injuries sustained on active duty for a period of one year after death?

Is there additional information that Parker School should have regarding your student’s residence, custodial parents, or non-custodial parents (please include any names, addresses, and phone numbers we should have on file):

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

Date

The Francis W. Parker Charter Essential School strives to provide a safe, respectful, and supportive learning environment in which all students can thrive and succeed in its schools. The Francis W. Parker Charter Essential School prohibits discrimination on the basis of race, color, sex, gender identity, religion, national origin, or sexual orientation and ensures that all students have equal rights of access and equal enjoyment of the opportunities, advantages, privileges, and courses of study.

Notes About Completing this Registration Form:

Francis W. Parker Charter School RegistrationSchool Year 2025-2026

Online Registration Form

Francis W. Parker Charter School Registration
School Year 2025-2026