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New Student Registration for Coal City Schools
One student per form please...
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* Indicates required question
Email
*
Your email
Parent Email Address (if different from above)
Your answer
Desired User Name
*
Your answer
Your relationship to this student?
*
Choose
Mother
Father
Step-Mother
Step-Father
Grandparent
Aunt
Uncle
Guardian
Foster Parent
Student Last Name
*
Your answer
Student First Name
*
Your answer
Student Middle Name
Your answer
Student Date of Birth
*
MM
/
DD
/
YYYY
Student Gender
*
Male
Female
Student Grade Level
*
Choose
PK
K
1
2
3
4
5
6
7
8
9
10
11
12
First day of school for your student?
*
MM
/
DD
/
YYYY
Has this student attended Coal City Schools in the past?
*
Yes
No
Physical Address
*
Street Address, City State ZIP
Your answer
Contact Phone Number
*
555-555-5555
Your answer
We will build your Powerschool account and email you with further instructions to complete the registration process...
Your First Name
*
Your answer
Your Last Name
*
Your answer
Electronic Verification
*
I verify that this information is accurate...
Required
A copy of your responses will be emailed to the address you provided.
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