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. Contact Mendota High School
Email address
Date
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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
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DD
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YYYY
Trojan Student Handbook/Planner: I have reviewed a copy of the Mendota Township High School, District #280, Parent/Student Handbook online at www.mendotahs.org or www.thezonelive.com. 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.
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