JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Student Account Request
Form will be used for creating all new student accounts
For email address below, "PLEASE" enter one of the following:
highschool@westernlocalschools.com
elementary@westernlocalschools.com
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Student Name
*
Your answer
Student ID#
*
Your answer
Student Date of Birth
*
MM
/
DD
/
YYYY
Grade student is currently in
*
Choose
K
1
2
3
4
5
6
7
8
9
10
11
12
Preschool
Homeroom and or classes needed for Iready
*
Your answer
Has student ever attended Western before?
*
Yes
No
Unknown
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Western Local Schools.
Does this form look suspicious?
Report
Forms