SPEED REGISTRATION FORM
2021-22 School Year
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Email *
Program: *
Note:  This information will accompany the student in an emergency/crisis. *
Required
Student's FIRST Name: *
Student's LAST Name *
Date of Birth: *
MM
/
DD
/
YYYY
Sex: *
Home District: *
Student Current Address, City, Zip Code *
Current Phone Number *
We offer text messages as a form of communicating with parents/guardians.  A text will be sent to your cell phone where you can opt-in or opt-out of receiving them.   *
Please enter your cell phone number(s) if you would like to receive these texts.
How would you like to be notified with important news, such as school closings and announcements?  Please check below: *
Required
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