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Parent or Guardian Information
Parent/ Guardian Name
Parent/ Guardian Physical Address
Parent/ Guardian Email Address
Parent/ Guardian Additional Email Address (Optional)
Student(s) Information
Student's Full Name
If you have more than one student, you may list additional names in the box below.
Additional Student Names
Please list any additional students names here. Please list their grade level and school if they are attending a different school than listed above.
Student School ID Number (If Known)
Grade
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Starting Date
(mm/dd/yyyy)
Additional Information
Other Fields
Your name
Your first name
Your last name
Your email address
Verification Code