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Registration Survey

This survey is for parents/guardians who DO NOT have a Parent Portal account. Complete this short survey and we will assist you with setting up your account! You may be required to show identification for child verification. Once your account is created, you will receive an email with your log-in credentials. If you have multiple children, you will need to complete a survey for each child.

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* 1. Relationship:

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* 2. Parent/Guardian First & Last Name:

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* 3. Parent/Guardian Email Address: 

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* 4. Parent/Guardian Phone Number: 

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* 5. Student's Legal First & Last Name

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* 6. Date of Birth

Date

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* 7. School Child Attends:

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* 8. Grade Child Enrolled:

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* 9. Child #2 (Please complete this section if you have another child in our district. Otherwise, please scroll down and click submit.)

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* 10. Child #3

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* 11. Child #4

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