New Student Registration for Coal City Schools
One student per form please...
Email address *
Parent Email Address (if different from above)
Your answer
Desired User Name *
Your answer
Your relationship to this student? *
Student Last Name *
Your answer
Student First Name *
Your answer
Student Middle Name
Your answer
Student Date of Birth *
MM
/
DD
/
YYYY
Student Gender *
Student Grade Level *
First day of school for your student? *
MM
/
DD
/
YYYY
Has this student attended Coal City Schools in the past? *
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 *
Required
A copy of your responses will be emailed to the address you provided.
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