Securly Home Parent Sign-up Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Parents, Please fill out the info below and hit submit for each child you wish to monitor via Securly Home. Once the submitted data is verified in PowerSchool your account request will be passed along to Securly for processing. Approved accounts will receive an automatic email from Securly containing login information.

NOTE: If your information doesn't match the data in PowerSchool, or if you fail to provide a valid student email address, your request will be canceled.

Parent First Name *

Parent Last Name *

Parent Email Address *

Student Grade *

Student First Name *

Student Last Name *

Student Email Address *

IMPORTANT: This field must contain the student's valid eskymos.com email address.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Escanaba Area Public Schools.

Does this form look suspicious? Report

Forms