PS102Q.ORG STUDENT EMAIL ACCOUNTS REQUEST FORM
Please complete the following questions to register for a PS102Q.org student email account. Once the account is created, you will receive your login information from your teacher.
FIRST NAME
Your answer
LAST NAME
Your answer
CURRENT CLASS
(6-401, 8-424, etc.)
Your answer
YOUR PS102Q.org Email Address
MUST BE IN THE FOLLOWING FORMAT: First name + last name + anticipated year of graduation@PS102Q.org. For example, an 8th grade student with the name of Sue Smith will have the email address SUESMITH2017@ps102q.org
Your answer
ANTICIPATED GRADUATION YEAR
PARENT/GUARDIAN EMERGENCY CONTACT PHONE NUMBER
USE only digits with area code. DO NOT USE any parentheses ( ) or dash - For example, use "7184463308" NOT "(718) 446-3308"
Your answer
ALTERNATE PARENT/GUARDIAN EMERGENCY CONTACT PHONE NUMBER
Your answer
PARENT/GUARDIAN EMAIL ADDRESS
Your answer
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