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											| Parent 1: (Required) | 
										
										 
											|  |  | 
										 
											| Login Id: | (If Parent1 already has an account with SchoolSpeak.) | 
										 
											| Last Name: | *
                            					 Enter Parent 1: Last NamePlease enter a valid Name. Name can have only letters, numbers, '-','_' and . | 
                                         
											| Middle Name: | Please enter a valid Name. Name can have only letters, numbers, '-','_' and . | 
										 
											| First Name: | *
                            					 Enter Parent 1: First NamePlease enter a valid Name. Name can have only letters, numbers, '-','_' and . | 
										 
											| Relationship: |  | 
										 
											| Email: | (Required for sending login details by email.) | 
										
										 
											| Work Phone: |  | 
										 
											| Mobile Phone: |  | 
	
										 
											| Mobile Carrier: |  | 
										 
											| Parent 2: (Optional) | 
										
										 
											|  |  | 
										 
											| Login Id: | (If Parent2 already has an account with SchoolSpeak.) | 
										 
											| Last Name: | (Enter if different from Parent 1.) | 
                                         
											| Middle Name: |  | 
										 
											| First Name: |  | 
										 
											| Relationship: |  | 
										 
											| Email: | (Required for sending login details by email.) | 
										
										 
											| Work Phone: |  | 
										 
											| Mobile Phone: |  | 
										 
											| Mobile Carrier: |  | 
										
										 
											| For parents and students: | 
                                         
					                        | Address: |  | 
				                         
					                        | City: |  | 
				                         
					                        | State: |  | 
				                         
					                        | Zip: |  | 
				                         
					                        | Home Landline: |  | 
										 
											| (Optional) If parent 2 has a different address: | 
										
										    |  | (If below fields are left empty, address and home landline above will be assigned to parent 2.) | 
										 
											| Address: |  | 
										 
											| City: |  | 
										 
											| State: |  | 
										 
											| Zip: |  | 
										 
											| Home Landline: |  | 
										
										 
											| For students: | 
										
										 
											| Emergency Contact Name: |  | 
										 
											| Emergency Contact Phone: | (The best number(s) to reach emergency contact.) |