Parent Portal Access Request Form

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Please complete form to request access to parent portal. Only one form will need to be completed per family.

Email *

Date *

YYYY

Parent/Guardian Name (Last Name, First Name) *

Parent/Guardian Phone Number *

Student's First Name *

Student's Last Name *

Student's Grade Level *

Student's Campus *

Sibling 1 Name (First Name Last Name)

Sibling 1 Grade Level

Sibling 1 Campus

Sibling 2 Name (First Name Last Name)

Sibling 2 Grade Level

Sibling 2 Campus

Sibling 3 Name (First Name Last Name)

Sibling 3 Grade Level

Sibling 3 Campus

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