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Student Information Form IRIS ALERT

- Parent's Tab

Parents MUST complete the form below. The information will be used for the following so it is important that the information be correct.
- IRIS ALERT System used to notify parents of any urgent message from the school
- Emergency used by school staff to contact parents
- School Nurse records used to contact parents
- Parent email used to send out school communications to parents
The maximum number of form submissions has been reached. This form is currently not available.
- Register Oldest Child First
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Grade REQUIRED Please fill out this field.
- Date of Birth (Month / Date / Year) REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Female Male Please fill out this field.
- Mother's Name Please enter valid data.
- Mother's Phone Please enter valid data.
- Mother's Email Please enter valid data.
- Mother's Street Address Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Father's Name Please enter valid data.
- Father's Phone Please enter valid data.
- Father's Email Please enter valid data.
- Father's Street Address Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- If school cannot contact parent or legal guardian, list friends or relatives of legal age who may be called upon if your child is sick. Also include the name(s) of any person who has your permission to sign for the early release of your child.
- Emergency Contact - If parent can't be reached
  Contact's Name, phone number and relationship to child
- Note any medical conditions that school personnel should be aware of (e.g. asthma, allergies,etc.) any any medication being taken for the condition REQUIRED Please fill out this field.
- Is there a sibling(s) in the school? yes no
- If yes, list child's name and grade Please enter valid data.
Submit

Student Information Form IRIS ALERT

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