Genesis Gradebook Parent Portal Registration Form Survey

Genesis Gradebook Parent Portal Registration Form

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Genesis Gradebook Parent Portal Registration Form

Thank you for participating in the Genesis Gradebook Parent Portal Program. Please complete the following form for each child so that we may create an account for you. You should receive an email with your parent portal login within 2 business days. The email may appear in your junk email folder.

1.	Full Student Legal Name (firstname lastname) no commas please:*

2.	School:*

3.	Grade*

4.	Student ID Number Only (from schedule, report card or teacher notification letter). This is a 7 digit number:*

5.	Parent/Guardian First Name:*

6.	Parent/Guardian Last Name:*

7.	Relationship of Parent/Guardian to child. (mother, father, etc.)*

8.	Day Time Phone Number (format 999-999-9999 and optional extension)- no commas please*

9.	Parent Email Address*

10.	Please enter the same Parent Email Address for verification purposes:*

More than one child in the district? Do you have more than one child attending school in the Moorestown Township Public School District? After completing and submitting the above form, please complete complete another Genesis Parent Portal Registration Form.