Abundant Student Success Academy Registration

Team work makes the dream work

yes to home-grown berries

It's reading time

Back to School Party

At the Bill Picket Rodeo

"*" indicates required fields

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session tag

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Student ID

Registration Date

Registration Number

Family ID

This is your unique login & pw in 1. It's the easy way to make changes to your child(ren)'s registration.

Students' Full Name*

First Middle Last

Preferred Name

Must be school appropriate

Home Address*

Street Address Address Line 2 City State ZIP Code

Gender*

diversity data

Race*

diversity data

Date of Birth*

School*

Grade*

Reading Skill Level*

Reading Comprehension*

Math Skill Level*

Known Learning Difficulties*

type "none", if applicable

Gaurdian*

Phone*

Email*

Please List Any Allergies & Behavioral Notes*

type "none", if applicable

Phone

This field is for validation purposes and should be left unchanged.