ABCDEF
1
FORT ZUMWALT SCHOOL DISTRICT
2
Parent Web-Access Registration Form
3
4
For security purposes, you must return this completed form to your child's school in person. You will be asked to
5
show a photo ID when you register. One parent/guardian (in person) may register additional parents/guardians.
6
Up to four parent/guardian logins may have access to a student's information. Once you are registered, the
7
information will be put into our district's student management system at your child's school.
8
The Parent Web-Access system will then email the registered email address(es) the login password. Your login user
9
name will be your registered email address. To logon to the parent portal, go to the district website at:
10
www.fz.k12.mo.us and click on PARENTS, STUDENTS, ALUMNI > Parents > Log-in to the Portal
11
PLEASE BE SURE TO CLEARLY PRINT ALL INFORMATION BELOW.
12
13
Please check the Appropriate Item(s):
14
_____I am registering for the first time.
15
_____Update my information in Parent-Web Access (i.e. new mail account)
16
_____Add another user to my existing Web Access account
17
_____Reset my login password
18
19
20
(PLEASE PRINT ALL INFORMATION)
21
Household Parent 1 First and Last Name:
22
 E-mail Address:
23
Household Parent 2 First and Last Name:
24
 E-mail Address:
25
Nonresident Parent 1 First and Last Name:
26
 E-mail Address:
27
Nonresident Parent 2 First and Last Name:
28
 E-mail Address:
29
30
Student 1Student 2Student 3Student 4
31
Name of School
32
First Name
33
Last Name
34
Birthdate
35
Grade
36
Signature and Photo ID are required to register for Parent-Web Access
37
38
Parent/Guardian Signature____________________________________________________Date_____________________
39
40
FOR OFFICE USE ONLY
School Routing
41
Building/Registrar Initials
Last 4-digits of ID#DateFromTo
42
Identification Verified
43
Entered into SIS
44
Revised 6/21/17