2020-2021 Imagine School at Land O' Lakes Student Registration Form
MIS Form #415 Rev. 4/17

*Each ISLOL student must have a completed registration form.*

*Families should only fill this out if you have been notified that you have a seat by Jeannie Murphy, our registrar. This is a FINAL REGISTRATION step. Filling it out on your own accord does not mean you are registered.*
Prior to completing this form, we ask that you log onto the myStudent parent portal and verify that the ADDRESSES AND CONTACTS information is accurate. Please indicate below whether your responses to this form will need to be updated in myStudent. (Not applicable to new families.)
Does this child's myStudent account need to be updated? *
Student Last Name *
Student First Name *
Student Middle Name *
Student #
Student Date of Birth *
MM
/
DD
/
YYYY
Student Grade *
Primary Phone Number *
Home Address *
City *
Zip Code *
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