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Registration Consents

NOTE: Please ensure that any embossed Notary Seal is visible in the scanned image. A pencil can be used to darken the embossed area of the paper.

Fields marked with an asterisk (*) are required.
Patron First Name *
 Enter First Name
Patron Last Name *
 Enter Last Name
Description *
 Enter Brief Description
Attach any relevant files


​Quick Tips:

Patron First and Last Name is TEACHER's name.

Use the Description box to indicate the student's records being submitted.

Please name the uploaded files like this: Student's Last Name, First initial of Student's first name, and D.O.B (mm.dd.yy)., e.g., Cochran C. 05.31.77​