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Registrant ID
Enter Registrant ID
Apostroph is not allowed in Registrant ID
Please enter a registrant ID composed of your first initial, last name and two random digits (i.e. jsmith01). You may choose any password up to 10 characters in length for security.
Password
Enter Password
Password can contain letters, numbers and the following symbols: !@#$()
Required
Confirm Password
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Password don't match
Required
First Name
Enter First Name
Numbers not allowed in First Name
Text 'First Name' not allowed
Required
Last Name
Enter Last Name
Numbers not allowed in Last Name
Text 'Last Name' not allowed
Required
Work Phone
-
-
Ext.
Required
Enter Work Phone area code
InvalidWork Phone area code
Enter Work Phone prefix
InvalidWork Phone prefix
Enter Work Phone suffix
InvalidWork Phone suffix
Invalid Value in Work Phone Extension
Home Phone
-
-
Required - Use cell phone if available
Enter Home Phone area code
InvalidHome Phone area code
Enter Home Phone prefix
InvalidHome Phone prefix
Enter Home Phone suffix
InvalidHome Phone suffix
Invalid Value in Home Phone Extension
Address1
Enter Address1
Required
Address2
Optional
City
Enter City
Required
State
select
Please Select
AK
AL
AR
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AZ
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CT
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DE
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ID
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ME
MH
MI
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MS
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PW
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TN
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UT
VA
VI
VT
WA
WI
WV
WY
Please select State
Required
Zip
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Zip is not valid.
Required
Primary Email
Enter Primary Email
Primary Email should be in proper format.
Required
necessary for e-mail reminders and confirmation.
Confirm Primary Email
Confirm Primary Email should be in proper format.
Re-enter Primary Email
The Primary Email and Confirm Primary Email fields must match.
Required
necessary for e-mail reminders and confirmation.
District
select
Please Select
N/A
Other Organization
Alma Public Schools
Ashley Community Schools
Beal City Public Schools
Beaverton Schools
Big Brothers Big Sisters
Breckenridge Community Schools
Bullock Creek School District
Clare Public Schools
Clare-Gladwin RESD
Coleman Community Schools
Farwell Area Schools
Frankenmuth Schools
Fulton Schools
Gerrish Higgins School District
Gladwin Community Schools
Harrison Community Schools
Houghton Lake Community Schools
Ithaca Public Schools
Marion Public Schools
Meridian Public Schools
Mid Michigan Community Action Agency
Mid Michigan Community College
Midland County ESA
Mt. Pleasant Public School
Renaissance Public School Academy
Sacred Heart School-Gladwin
Saint Cecilia School
Shepherd Public Schools
Skeels Christian School
St. Louis Public Schools
The Morey Charter School
Gladwin Co. Dept. of Human Services
Saginaw Chippewa Academy
Ludington Area Schools
Midland Public Schools
Morley Stanwood Community Schools
West Branch-Rose City Area Schools
Gladwin Community Mental Health
Whitehall District Schools
OTHER
Please select District
Required
Building
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Please Select
Please select Building
If building is not listed, please use Other Organization. Type in name.
Grade
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Please Select
K
Pre-K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
N/A
Please select Grade
Required
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