Student Registration Form

First Name

Last Name

Email Address (Gmail only) Email already exists Must be a valid @gmail.com address

Username

Grade Level

Section

Date of Birth

Contact Number (optional)

Parent / Guardian Name

Relationship

Contact Number (optional)

Create a strong password with at least 6 characters, including uppercase letters and numbers.

Password

Verify Password

I agree to the Code of Conduct and will follow all school rules and regulations

I agree to the Online Learning Policy and understand my responsibilities as a student

I agree to the School Data Privacy Policy and consent to the collection and use of my information

Student Name