Brooklyn Laboratory Charter Schools Application Grade 6-12
School Year: 2023-2024 
Application Deadline: April 1st, 2023, 11:59 pm 

We are going to continue taking applications this spring/summer and would love to hear from you sooner so we can plan for your scholar! 

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Email *
Student Name: First  *
Student Name: Last
Student Name: Middle Initial 
Date Of Birth  *
Gender  *
What school are you currently attending? *
Applying for current or next school year?
What is your current classification/grade? *
Does the applicant have a sibling who currently attends Brooklyn Laboratory Charter Schools?
Siblings Name: Last, First , M.I.
Parent/ Guardian Name: Last, First , M.I.
Relationship To Student  *
Address: Street Address Apartment/Unit # City State Zip Code *
Email Address *
Phone Number  *
Non-Discrimination Statement: A charter school shall not discriminate against or limit the admission of any student on any unlawful basis, including on the basis of ethnicity, national origin, gender, disability, intellectual ability, measures of achievement or aptitude, athletic ability, race, creed, gender, national origin, religion or ancestry. A school may not require any action by a student or family (such as an admissions test, interview, essay, attendance at an information session, etc.) in order for an applicant to either receive or submit an application for admission to that school. However, Brooklyn Laboratory Charter School provides an academic program specifically designed for students with disabilities. These preferences have been approved by the school’s authorizer and are permissible. 
I have read and acknowledge the disclaimer above. I give Brooklyn Laboratory Charter School consent to process this form as an application for the 2023-2024 School Year.  *
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