New Student Testing Registration

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Please complete this registration form to register your child for testing. If you have more than one child that needs to test, please fill this form out for each of them.

Email *

Student Name *

Birthdate *

YYYY

Gender *

Female

Male

Required

Race *

American Indian or Alaskan Native

Asian

Black or African American

Hispanic or Latino

Native Hawaiian or Pacific Islander

Two or More Races

White

Required

Parent/Guardian Name *

Parent/Guardian Emergency Contact Number *

Your child's health and wellbeing are important to us. To best accommodate your child during the testing session, please indicate below any health conditions that your child is currently under a physician's care for. Maintaining confidentiality is of great importance to us, therefore, this information will be kept in a secured area within the testing room. *

My child does not have any health conditions at this time

Food Allergies

Stinging Insect Allergies

Other Allergies

Diabetes

Seizures

Neurological

Concussion/Head Injury

Cardiac

Blood Disorder

Asthma

ADD/ADHD

Deafness

Behavior/Emotional Disorder

Cancer

Physical Disability

Other condition not listed above

Required

If you checked other above, please specify

Grade for the 2020-2021 School Year *

Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

Grade 6

Grade 7

Grade 8

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