Park East High School

9th Grade Registration Form


Student Information


Last Name     First Name


Date of Birth //


Address l


City State Zip


Home Phone ()- ___  



School I.D. (4 numbers)    

Official Class

If a 4 dighit school ID has been assigned
please enter it here. If not, please leave
this space blank.
If your child's official class has been 
assigned please enter it here. If not,
 please leave this space blank.


OSIS Number

Contact Information

Mother or
Guardian's Name
Mother or
Guardian's Work Phone


Father's Name (or Grandmother/Aunt/Family Friend, etc)


Father's (or Grandmother/Aunt/Family Friend,etc) Home Phone ()-


Any other number where you can be reached?

Student email Address (optional)




Any comments that you would like to make?