KMS Email and Text Initiative (ETI)
Please help us reach you faster. By providing your email and cell phone numbers we can reach you quickly.
Sign in to Google to save your progress. Learn more
Student Grade Level *
Required
Student First Name *
Student Last Name *
Main Family Contact Name *
Main Family Contact - Cell/Text Number *
Main Family Contact - email address *
Alternate Family Contact - Cell/Text Number *
Alternate Family Contact - email address *
Additional Cell Text Numbers?
Additional email address?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of West Contra Costa Unified School District. Report Abuse