New Student Online Enrollment - Initial Contact Information Form
Please fill out the information requested in this form to begin the Enrollment Process with Port Huron Schools.

**This form is intended for Port Huron Area School District residents. If you live outside the District this form will be considered a request to enroll, however will not replace other required documents or procedures**

After completion, you will be contacted by an Enrollment Specialist or the individual school to set up an appointment to complete your registration. If you have any questions, please email enrollment@phasd.us

Email address *
Confirm Email Address *
Your answer
Date *
MM
/
DD
/
YYYY
This Registration is for: *
Parent/Guardian Note:
Please note that the person completing this Enrollment Form MUST be a parent or legal guardian of the child. You will be able to enter a second legal guardian on the next page. Please contact an Enrollment Clerk with questions related to other family rights at enrollment@phasd.us
Contact 1 Parent/Guardian First Name *
Your answer
Contact 1 Parent/Guardian Last Name *
Your answer
Contact 1 Parent/Guardian Relationship to student(s) *
Student lives with: *
Contact 1 Parent/Guardian Address *
Your answer
Contact 1 Parent/Guardian City *
Your answer
Contact 1 Parent/Guardian State *
Contact 1 Parent/Guardian Zip Code *
Your answer
Contact 1 Parent/Guardian Phone Number (including area code) *
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Port Huron Area School District. Report Abuse - Terms of Service - Additional Terms