BHSEC Baltimore Admissions Registration Form

Submit the form below to register for an admission session for Bard High School Early College Baltimore. The sessions will start in September 2015 and run through the spring. Please provide a valid phone number or email address for yourself or your parent/guardian so we can contact you if there are any changes to the session. Thank you!

Personal Information
Name Name First Last
Email
Phone Number Phone Number - ### - ### ####
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Parent/Guardian Name
Parent/Guardian Email (if different from above)
Parent/Guardian Phone (if different from above) Parent/Guardian Phone (if different from above) - ### - ### ####
Admission Session Date, Time, and Location (2801 N. Dukeland Street, Baltimore, MD 21216)
Current School
Grade
How did you hear about Bard High School Early College?

BHSEC Baltimore Admissions Registration Form

BHSEC Baltimore Admissions Registration Form

Personal Information