New Child to HASD-Enroll Here
Account Request
This form is the first step to enrolling your new student online. Complete it to request an account that you will use to log in to a secure system.
Complete required fields to request an account to enroll your students.
Enter the name of the legal parent/guardian of the student you want to enroll
Guardian Legal First Name:
Guardian Legal Last Name:
Guardian Legal Middle Name:
Guardian Legal Name Prefix:
Dr
Mr
Mrs
Ms
Rev
Guardian Legal Name Suffix:
APN
APNP
CPNP
CRNA
DDS
DMD
DO
FNP
II
III
IV
Jr
MD
MSN
NP
PA
PNP
RN
Sr
V
Guardian contact information
I don't have an email
Guardian Email Address
:
Re-type Email Address
:
Guardian Primary Phone Number:
Asterisk (*) denotes a required field
Click here to submit Account Request