Student Registration 20-21
Student registration form for school year 20-21. ONE FORM REQUIRED FOR EACH STUDENT.
Email address *
Student First Name *
Student Last Name *
Student Gender *
Student Grade for 20-21 School Year *
Required
Student Date of Birth *
MM
/
DD
/
YYYY
Parent/Guardian Names *
Enter each parent and/or guardian. Include first and last name. Separate each person with a comma.
Home Phone *
Parent/Legal Guardian 1 Cell Phone Number *
Parent/Legal Guardian 1 Work Phone Number *
Parent/Legal Guardian 2 Cell Phone Number (Optional)
Parent/Legal Guardian 2 Work Phone Number (Optional)
Emergency Contact 1 (Required) *
Must be different than Parent/Legal Guardian 1 and 2. Must list at least one emergency contact. List name, relationship to student, and phone number.
Emergency Contact 2 (Optional)
Must be different than Parent/Legal Guardian 1 and 2. Must list at least one emergency contact. List name, relationship to student, and phone number.
Emergency Contact 3 (Optional)
Must be different than Parent/Legal Guardian 1 and 2. Must list at least one emergency contact. List name, relationship to student, and phone number.
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