Parent User Request Form

Parent User Request Form

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Parent User Request Form

If you have a student at Mildred ISD and would like to be a parent user of our website in order to gain access to protected content and e-alerts, please fill out the request form below. Upon approval of your request, you will be notified by e-mail of your username and password.

1.	Today's Date*
	mm/dd/yyyy

Please enter the following information-all information is required in order to process your request*

Name:
Address:
City, State, Zip:
Daytime Phone #:

3.	e-mail address:*

Please select the campus(es)in which you have a child or children*

High School

Junior High

Elementary

Please enter the full name and grade level for each child you have attending Mildred ISD*

Child's Name:
Grade Level:
Child's Name:
Grade Level:
Child's Name:
Grade Level:
Child's Name:
Grade Level:
Child's Name:
Grade Level:

Done

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