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Parent/Guardian Request for Access to Parent Portal

This form is for parents to request access to the Parent Portal.

Student Last Name*

Answer Required

Student First Name*

Answer Required

Student Birth Date*

Answer Required

Student ID

Answer Required

Parent/Guaridan Information

Parent/Guardian Last Name*

Answer Required

Parent/Guardian First Name*

Answer Required

Parent/Guardian Phone Number*

Answer Required

Parent/Guardian Email*

Answer Required

Parent/Guardian Address

Street Address*

Answer Required

City*

Answer Required

Zip/Postal*

Answer Required

Proof of ID (example: driver license)*

Answer Required

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I request a username/password to access my student's information on the Parent Internet Portal. Submission of this form and providing proof of ID, I hereby swear or affirm, under penalty of perjury, that all of the following are true and correct:

I am the parent or legal guardian of the above-named student.
I have no legal document that prohibits me from accessing or obtaining any of the above-named student's records.
I hereby consent to the transmission of the above-named student grades, attendance, and other confidential student information to me via the internet, to my email address, and through the online parent portal. I hereby accept sole responsibility of maintaining the confidentiality and security of my login and password used to access the parent portal.

Confirmation Email

Confirmation Email *

Email Required