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Jump to:  Parents  Emergency  Web Access  Open: Enrollment Notes
Note: moving your mouse over a field's title will reveal it's search term
Name (last, first MI) ,
Lineage (Suffix) Nickname  
Home Phone
Home Street Map
Home city, state, zip ,
Residency   Expiration date of lease if Renting
Mailing Street Map
Mailing city, state, zip ,
Gender Student Number (PS#)
Home Room SSN
Birth date  (mm/dd/yyyy) Directory Listing Permission
Graduation Year Photo/Video Permission
Reporting Ethnicity   Internet Use Permission
Family rep. District Entry Date District Entry Grade Level
CIC Student School Entry Date School Entry Grade Level
PARENT/GUARDIAN    
Lives With
Mother's Name (Needs to be formatted like: Doe, John)
Mother's Day Phone   Cell Phone
Mother's Home Phone
Mother's Email
Mother's Employer
Mother's Maiden Name (LAST NAME ONLY)
Father's Name (Needs to be formatted like: Doe, John)
Father's Day Phone   Cell Phone
Father's Home Phone
Father's Email
Father's Employer
Guardianship       Single Parent Household
Guardian(Last, First, Middle)
Guardian's Day Phone   Cell Phone
Guardian Email (Separate multiple emails with commas, do not include any spaces)
Guardian Alert Text
Alert Expires (date)

(0/0/0 to never expire)
EMERGENCY/MEDICAL INFO   
Emergency Contact #1
Contact #1 Phone
Contact #1 Relationship Phone Type  
Emergency Contact #2
Contact #2 Phone
Contact #2 Relationship Phone Type  
Emergency Contact #3
Contact #3 Phone
Contact #3 Relationship Phone Type  
Doctor Doctor Phone# 
Dentist Dentist Phone# 
Medical Alert Text
Alert Expires (date)

(0/0/0 to never expire)
WEB ACCESS    
Guardian Access, Allow
Guardian web ID
Guardian web PW
Student Access, Allow
Student Web ID
Student Web PW
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