New Students Only
Returning Student Registration instructions were emailed to all parents in April.

Student Information
Legal Name from Birth Certificate
**Legal Name: **First: Middle: **Last:
**Date of Birth: mm/dd/yyyy
Preferred First Name:
**Previous School:
Enter NONE in all three boxes
if Kindergarten student
School Name:
**Grade Level:
**Anticipated Start Date:
Current Special Programs IEP 504 ELL Speech Therapy
**Registration School Year
Anticipated Start Date mm/dd
If your child will be attending in the 2018-2019 school year, please indicate month(mm)/day(dd) they will start school.
If your child will start school in the 2019-2020 school year, please leave the anticipated start date blank.
**Has this student previously attended
District 70, including Early Childhood?
Preferred Language
Parent/Guardian Information
**First Name: **Last Name:
**Relationship to Student:
Other Students in Family: Check this box if other members of your family are active students at our schools
**Desired User Name: Desired User Name for PowerSchool Login
**Phone: 999-999-9999      Alternate Phone: 999-999-9999
**Zip Code:
Parent 2: First Name
Parent 2: Last Name
Parent 2: Relationship to Student
Parent 2: Email
Parent 2: Phone
Parent 2: Address
Parent 2: City
Parent 2: State
Parent 2: Zip Code
Rental Property Owner's Name Use only if renting or leasing
**Verification: I verify that the above information is correct
** Required Information