BARNEGAT TWP. SCHOOL DISTRICT

NEW ACCOUNT/NEW STUDENT(S) ONLY

Please complete one form for all students that will be listed under your account & return it to any of their attending schools for processing.

Parent/Guardian Information

(Please print clearly)

Parent/Guardian First Name: _____________________  Last Name_________________________

Daytime Telephone: (_______) _______-______________________

Valid e-mail address: __________________________________________________________

Student(s) Information

Student’s Name: _______________________________ School: __________________ Grade:_________

Student’s Name: _______________________________ School: __________________ Grade:_________

Student’s Name: _______________________________ School: __________________ Grade:_________

Student’s Name: _______________________________ School: __________________ Grade:_________

Student’s Name: _______________________________ School: __________________ Grade:_________

Thank you for completing this Parent Portal Access Form.

For new accounts, you will receive an e-mail with your username & password information.

If you have any questions, please contact the web desk at (609) 698-5800 ext. 11130.

THANK YOU & HAVE A GREAT SCHOOL YEAR !