Parent Portal Access Request Form
Please complete form to request access to parent portal. Only one form will need to be completed per family.
Email address *
Date *
MM
/
DD
/
YYYY
Parent/Guardian Name (Last Name, First Name) *
Parent/Guardian Phone Number *
Student's First Name *
Student's Last Name *
Student's Grade Level *
Student's Campus *
Sibling 1 Name (First Name Last Name)
Sibling 1 Grade Level
Sibling 1 Campus
Sibling 2 Name (First Name Last Name)
Sibling 2 Grade Level
Sibling 2 Campus
Sibling 3 Name (First Name Last Name)
Sibling 3 Grade Level
Sibling 3 Campus
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