Registration Appointment Request
Please fill out the information below to be contacted by an HPS registration staff member.
Parent/Guardian Name *
Phone Number *
Email Address
Home Address *
What is the best time to reach you? *
Time
:
Student's First Name *
Student's Last Name *
Student's Date of Birth *
MM
/
DD
/
YYYY
Reason for Appointment Request *
Grade Student is Enrolling in
Clear selection
Do you require translation? *
If Translation is Required, Please Specify Language
Submit
Never submit passwords through Google Forms.
This form was created inside of Haverhill Public Schools. Report Abuse