New student contact information School year 2025-26
Welcome to Prospect Heights School District 23. Please complete the pre-registration form and someone will contact you to go over the registration process and set up an appointment to finalize the registration.
Sign in to Google to save your progress. Learn more
Student First Name  *
Middle Name 
Student Last Name  *
Date of birth  *
MM
/
DD
/
YYYY
Gender
Clear selection
Address (Street, city, state, zip)  *
Phone number  *
Parent Name (first, last)  *
Email  *
Home language  *
Previous School  *
Grade level (school year 2025-26)  *
Required
Student receive any services? Check any that apply 
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Prospect Heights School District 23.

Does this form look suspicious? Report