Online Registration Form
I understand that completing this form constitutes a legal signature.
**Request Emergency Contact and demographic information updates or changes through Parent Connect or contact Mendota High School at 815-539-7446.
Email address *
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Relationship to Student *
Please indicate your relationship to the student. (parent, grandparent, guardian, sibling, etc.)
Your answer
Parent/Guardian Contact Phone Number *
Format 123-456-7890
Your answer
Student First Name *
Your answer
Student Last Name *
Your answer
Grade *
Student Birth Date (You can type their birthdate.) *
MM
/
DD
/
YYYY
Student Status
By typing "yes" below I certify that I have reviewed a copy of the Mendota Township High School, District #280, Parent/Student Handbook linked above. I further acknowledge that, upon written or oral request, the administration will make itself available to discuss the discipline or policy codes within this handbook. *
Your answer
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