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.
Please complete the captcha before submitting the form.
Submit
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