Parent/Guardian Information

* First Name First Name is required.

* Last Name Last Name is required.

* Email Address Parent Email is required.

* Parent/Guardian Phone Parent Phone is required.

* Street Address Parent Home Address is required.

* City Parent City is required.

* Zip Code Parent Zip Code is required.

* Preferred Language English Spanish Other School is Required.

Student Information

* First Name Student First Name is required.

* Last Name Student Last Name is required.

* Student ID Number Strudent ID is required. Only numbers are allowed.

* School Name -- Select School -- Abbotts Creek ES Adams ES Alston Ridge ES Alston Ridge MS Apex ES Apex Friendship ES Apex Friendship HS Apex Friendship MS Apex HS Apex MS Athens HS Aversboro ES Baileywick ES Ballentine ES Banks Rd ES Barton Pond ES Barwell ES Baucom ES Beaverdam ES Bowling Road ES Brassfield ES Brentwood ES Briarcliff ES Bridges Program Brier Creek ES Brooks ES Broughton HS Bryan Road ES Buckhorn Creek ES Bugg ES Carnage MS Carpenter ES Carroll MS Carver ES Cary ES Cary HS Cedar Fork ES Centennial MS Combs ES Conn ES Connections Academy Creech Road ES Crossroads FLEX Davis Drive ES Davis Drive MS Dillard Dr ES Dillard Dr MS Douglas ES Durant Rd ES Durant Rd MS Early Learning Ctr at Memory Rd East Cary MS East Garner ES East Garner MS East Millbrook MS East Wake HS Enloe HS Farmington Woods ES Felton Grove HS Forest Pines ES Forestville Rd ES Fox Road ES Frankie Lemmon Fuller ES Fuquay-Varina ES Fuquay-Varina HS Fuquay-Varina MS Garner HS Green ES Green Hope ES Green Hope HS Green Level HS Harris Creek ES Herbert Akins ES Herbert Akins MS Heritage ES Heritage HS Heritage MS HighCroft ES Hilburn Academy K-8 Hodge RD ES Holly Grove ES Holly Grove MS Holly Ridge ES Holly Ridge MS Holly Springs ES Holly Springs HS Hortons Creek ES Hunter ES Infinity Center Jeffreys Grove ES Jones Dairy ES Joyner ES Kingswood ES Knightdale ES Knightdale HS Lacy ES Lake Myra ES Laurel Park ES Lead Mine ES Learning Together Leesville RD ES Leesville RD HS Leesville RD MS Ligon MS Lincoln HGHTS ES Lockhart ES Longview HS Lufkin Road MS Lynn Road ES Mariposa School Martin MS Middle Creek ES Middle Creek HS Millbrook ES Millbrook HS Mills Park ES Mills Park MS Moore Square MS Morrisville ES Mount Vernon School Neuse River MS North Forest Pines ES North Garner MS North Ridge ES North Wake CCA Northwoods ES Oak Grove ES Oakview ES Oberlin MS Olds ES Olive Chapel ES Panther Creek HS Parkside ES Partnership ES Penny Road ES Phillips HS Pine Hollow MS Pleasant Grove ES Pleasant Plains ES Pleasant Union ES Poe ES Powell ES Rand Road ES Ray of Hope Reedy Creek ES Reedy Creek MS Rex Road ES Richland Creek ES River Bend ES River Bend MS River Oaks MS Rogers Lane ES Rolesville ES Rolesville HS Rolesville MS Root ES Salem ES Salem MS Sanderson HS Sanford Creek ES Scotts Ridge ES Shaw PK Smith ES South Garner HS South Lakes ES Southeast Raleigh ES Southeast Raleigh HS Stough ES Swift Creek ES Sycamore ES Tammy Lynn Center Timber Drive ES Turner Creek ES Underwood ES Vance ES Vandora SPRGS ES Vernon Malone HS Wake Early College HS Wake Early College HS - North Wake Early College of Bio and Info Wake Forest ES Wake Forest HS Wake Forest MS Wake Young Mens LA Wake Young Womens LA Wakefield ES Wakefield HS Wakefield MS Wakelon ES Walnut Creek ES Washington ES Weatherstone ES Wendell ES Wendell MS West Cary MS West Lake ES West Lake MS West Millbrook MS White Oak ES Wilburn ES Wildwood Forest ES Wiley ES Willow Spring HS Willow Springs ES Woods Creek ES Yates Mill ES York ES Zebulon ES Zebulon MS School is required.

Street Address (if different from Parent)

City

Zip Code

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