Parent Portal Request Form

Parent Portal Request

Student's Name*

Student's Grade*

2nd Student's Name

2nd Student's Grade

3rd Student's Name

3rd Student's Grade

Do you authorize your child's grading and census information to be published online through secure parent portals?*
Yes
No

Name of person requesting account.*

Your relationship to the student.*
Mother
Father
Step-Mother
Step-Father
Guardian
Other, please specify

Your Primary Email Address*
*(This will be your USER NAME)*

Daytime Phone Number.*
Where we can contact you with issues regarding this request.



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