Register for On-line Access
iPass
Improving K-12 Education Through Software
2024-2025
Please register all students at the same time.
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Personal Information
Title:
Mr.
Mrs.
Dr.
Ms
Miss
Gender:
Female
Male
*
First Name:
Middle Name:
*
Last Name:
*
Email:
Workplace:
*
indicates a required field.
Address Information
Type:
Home
Mailing
Other
Student
Summer
Transportation
Work
Street No:
Street Name:
Apt
Address 2:
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
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Louisiana
Maine
Maryland
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Michigan
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Mississippi
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Montana
Nebraska
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New York
North Carolina
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Ohio
Oklahoma
Oregon
Out of US
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington D.C.
West Virginia
Wisconsin
Wyoming
Zip Code
Telephone Numbers
*
Phone:
Ext:
Type:
Cell
Emergency
Father at Work
Father's Cell
Fax
Home
Home Alternate
Mom's Cell
Mother at Work
Pager
Work
Rank:
1
2
3
4
e.g. 999-999-9999
Phone:
Ext:
Type:
Cell
Emergency
Father at Work
Father's Cell
Fax
Home
Home Alternate
Mom's Cell
Mother at Work
Pager
Work
Rank:
1
2
3
4
Phone:
Ext:
Type:
Cell
Emergency
Father at Work
Father's Cell
Fax
Home
Home Alternate
Mom's Cell
Mother at Work
Pager
Work
Rank:
1
2
3
4
Phone:
Ext:
Type:
Cell
Emergency
Father at Work
Father's Cell
Fax
Home
Home Alternate
Mom's Cell
Mother at Work
Pager
Work
Rank:
1
2
3
4
Internet User Information
*
User ID:
The Password must be at least 8 characters long.
The Password cannot contain your User ID.
The Password must contain both upper and lower case characters.
The Password must contain numbers.
*
Password:
*
Verify Password:
Primary Student Information
*
Student ID:
 
 
*
First Name:
 
 
Middle Name:
 
 
*
Last Name:
 
 
*
DOB:
e.g. mm/dd/yyyy
*
City of birth:
Student lives with me.
Relationship to Student:
Please select relationship
Aunt
Brother
Brother-in-law
Case Worker
Cousin
D.Y.S.
Daughter
Dentist
Doctor
Educational Advocate
Educational Surrogate Parent
Father
Father-in-law
Foster
Foster Father
Foster Guardian
Foster Mother
Foster Parent
Friend
Grandfather
Grandmother
Guardian Gd
Hospital
House/Roommate
Husband
Legal Guardian
Mother
Mother-in-law
Neighbor
Other
Parents
Physical Custodian
Self
Significant Other
Sister
Sister-in-law
Son
Spouse
Stepfather
Stepmother
Uncle
Ward of State
Wife
Additional Student 2
*
Student ID:
 
 
*
First Name:
 
 
Middle Name:
 
 
*
Last Name:
 
 
*
DOB:
e.g. mm/dd/yyyy
*
City of birth:
Student lives with me.
Relationship to Student:
Please select relationship
Aunt
Brother
Brother-in-law
Case Worker
Cousin
D.Y.S.
Daughter
Dentist
Doctor
Educational Advocate
Educational Surrogate Parent
Father
Father-in-law
Foster
Foster Father
Foster Guardian
Foster Mother
Foster Parent
Friend
Grandfather
Grandmother
Guardian Gd
Hospital
House/Roommate
Husband
Legal Guardian
Mother
Mother-in-law
Neighbor
Other
Parents
Physical Custodian
Self
Significant Other
Sister
Sister-in-law
Son
Spouse
Stepfather
Stepmother
Uncle
Ward of State
Wife
Additional Student 3
*
Student ID:
 
 
*
First Name:
 
 
Middle Name:
 
 
*
Last Name:
 
 
*
DOB:
e.g. mm/dd/yyyy
*
City of birth:
Student lives with me.
Relationship to Student:
Please select relationship
Aunt
Brother
Brother-in-law
Case Worker
Cousin
D.Y.S.
Daughter
Dentist
Doctor
Educational Advocate
Educational Surrogate Parent
Father
Father-in-law
Foster
Foster Father
Foster Guardian
Foster Mother
Foster Parent
Friend
Grandfather
Grandmother
Guardian Gd
Hospital
House/Roommate
Husband
Legal Guardian
Mother
Mother-in-law
Neighbor
Other
Parents
Physical Custodian
Self
Significant Other
Sister
Sister-in-law
Son
Spouse
Stepfather
Stepmother
Uncle
Ward of State
Wife
Additional Student 4
*
Student ID:
 
 
*
First Name:
 
 
Middle Name:
 
 
*
Last Name:
 
 
*
DOB:
e.g. mm/dd/yyyy
*
City of birth:
Student lives with me.
Relationship to Student:
Please select relationship
Aunt
Brother
Brother-in-law
Case Worker
Cousin
D.Y.S.
Daughter
Dentist
Doctor
Educational Advocate
Educational Surrogate Parent
Father
Father-in-law
Foster
Foster Father
Foster Guardian
Foster Mother
Foster Parent
Friend
Grandfather
Grandmother
Guardian Gd
Hospital
House/Roommate
Husband
Legal Guardian
Mother
Mother-in-law
Neighbor
Other
Parents
Physical Custodian
Self
Significant Other
Sister
Sister-in-law
Son
Spouse
Stepfather
Stepmother
Uncle
Ward of State
Wife
Additional Student 5
*
Student ID:
 
 
*
First Name:
 
 
Middle Name:
 
 
*
Last Name:
 
 
*
DOB:
e.g. mm/dd/yyyy
*
City of birth:
Student lives with me.
Relationship to Student:
Please select relationship
Aunt
Brother
Brother-in-law
Case Worker
Cousin
D.Y.S.
Daughter
Dentist
Doctor
Educational Advocate
Educational Surrogate Parent
Father
Father-in-law
Foster
Foster Father
Foster Guardian
Foster Mother
Foster Parent
Friend
Grandfather
Grandmother
Guardian Gd
Hospital
House/Roommate
Husband
Legal Guardian
Mother
Mother-in-law
Neighbor
Other
Parents
Physical Custodian
Self
Significant Other
Sister
Sister-in-law
Son
Spouse
Stepfather
Stepmother
Uncle
Ward of State
Wife
Additional Student 6
*
Student ID:
 
 
*
First Name:
 
 
Middle Name:
 
 
*
Last Name:
 
 
*
DOB:
e.g. mm/dd/yyyy
*
City of birth:
Student lives with me.
Relationship to Student:
Please select relationship
Aunt
Brother
Brother-in-law
Case Worker
Cousin
D.Y.S.
Daughter
Dentist
Doctor
Educational Advocate
Educational Surrogate Parent
Father
Father-in-law
Foster
Foster Father
Foster Guardian
Foster Mother
Foster Parent
Friend
Grandfather
Grandmother
Guardian Gd
Hospital
House/Roommate
Husband
Legal Guardian
Mother
Mother-in-law
Neighbor
Other
Parents
Physical Custodian
Self
Significant Other
Sister
Sister-in-law
Son
Spouse
Stepfather
Stepmother
Uncle
Ward of State
Wife
Additional Student 7
*
Student ID:
 
 
*
First Name:
 
 
Middle Name:
 
 
*
Last Name:
 
 
*
DOB:
e.g. mm/dd/yyyy
*
City of birth:
Student lives with me.
Relationship to Student:
Please select relationship
Aunt
Brother
Brother-in-law
Case Worker
Cousin
D.Y.S.
Daughter
Dentist
Doctor
Educational Advocate
Educational Surrogate Parent
Father
Father-in-law
Foster
Foster Father
Foster Guardian
Foster Mother
Foster Parent
Friend
Grandfather
Grandmother
Guardian Gd
Hospital
House/Roommate
Husband
Legal Guardian
Mother
Mother-in-law
Neighbor
Other
Parents
Physical Custodian
Self
Significant Other
Sister
Sister-in-law
Son
Spouse
Stepfather
Stepmother
Uncle
Ward of State
Wife
Additional Student 8
*
Student ID:
 
 
*
First Name:
 
 
Middle Name:
 
 
*
Last Name:
 
 
*
DOB:
e.g. mm/dd/yyyy
*
City of birth:
Student lives with me.
Relationship to Student:
Please select relationship
Aunt
Brother
Brother-in-law
Case Worker
Cousin
D.Y.S.
Daughter
Dentist
Doctor
Educational Advocate
Educational Surrogate Parent
Father
Father-in-law
Foster
Foster Father
Foster Guardian
Foster Mother
Foster Parent
Friend
Grandfather
Grandmother
Guardian Gd
Hospital
House/Roommate
Husband
Legal Guardian
Mother
Mother-in-law
Neighbor
Other
Parents
Physical Custodian
Self
Significant Other
Sister
Sister-in-law
Son
Spouse
Stepfather
Stepmother
Uncle
Ward of State
Wife
Additional Student 9
*
Student ID:
 
 
*
First Name:
 
 
Middle Name:
 
 
*
Last Name:
 
 
*
DOB:
e.g. mm/dd/yyyy
*
City of birth:
Student lives with me.
Relationship to Student:
Please select relationship
Aunt
Brother
Brother-in-law
Case Worker
Cousin
D.Y.S.
Daughter
Dentist
Doctor
Educational Advocate
Educational Surrogate Parent
Father
Father-in-law
Foster
Foster Father
Foster Guardian
Foster Mother
Foster Parent
Friend
Grandfather
Grandmother
Guardian Gd
Hospital
House/Roommate
Husband
Legal Guardian
Mother
Mother-in-law
Neighbor
Other
Parents
Physical Custodian
Self
Significant Other
Sister
Sister-in-law
Son
Spouse
Stepfather
Stepmother
Uncle
Ward of State
Wife
Additional Student 10
*
Student ID:
 
 
*
First Name:
 
 
Middle Name:
 
 
*
Last Name:
 
 
*
DOB:
e.g. mm/dd/yyyy
*
City of birth:
Student lives with me.
Relationship to Student:
Please select relationship
Aunt
Brother
Brother-in-law
Case Worker
Cousin
D.Y.S.
Daughter
Dentist
Doctor
Educational Advocate
Educational Surrogate Parent
Father
Father-in-law
Foster
Foster Father
Foster Guardian
Foster Mother
Foster Parent
Friend
Grandfather
Grandmother
Guardian Gd
Hospital
House/Roommate
Husband
Legal Guardian
Mother
Mother-in-law
Neighbor
Other
Parents
Physical Custodian
Self
Significant Other
Sister
Sister-in-law
Son
Spouse
Stepfather
Stepmother
Uncle
Ward of State
Wife