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Jump to:  Parents  Emergency  State Info  Submit  Open:  Enrollment Notes
Note: moving your mouse over a field's title will reveal it's search term
Name (last, first MI) ,
Home Phone  xxx-xxx-xxxx Student Number (PS#)
Home Address   Map  
Home city, state, zip ,  
Mailing Address   Map  
Mailing city, state, zip ,
Type of Residency Graduation Year
Nickname Gender
Home Room Directory Listing Permission
Birth date  mm/dd/yyyy Photo/Video Permission
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
Mother's Day Phone   Cell Phone
Mother's Home Phone
Mother's Email
Mother's Employer
Mother's Maiden Name
Father's Name
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
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 Phone#
Dentist Phone#
Medical Alert Text Alert Expires (date)
(0/0/0 to never expire)
WEB ACCESS    
Guardian Access, Allow Student Access, Allow
Guardian web ID Student Web ID
Guardian web PW Student Web PW
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