Second Account Request Form

One Edline parent account is created for each student.
Please complete and submit this form online. The new account information will be mailed to the address on the form upon review and approval.

We are only activating Edline accounts for the High Schools and Middle Schools. Elementary Schools will be activated in the near future.

Denotes Required

Requestor's Information

Name of Parent/Guardian:
First Last

Address:

City, State, Zip

Daytime Phone:
format: xxxxxxxxxx

Email Address:

Student's Information

Student ID#:

Name of Student :
First Last

Relationship to Student:

Student's School:

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Second Account Request Form

Requestor's Information

Student's Information