Register Parent/Guardian

All fields on this form are required!
For best experience, please fill out the form on wifi and not over the cellular network.
If you must fill out the form and submit on cellular, please do not navigate away from the page. It can take 70-100 seconds for an 8 MB picture to upload.
We recommend that you fill out this form on your mobile device or tablet to take advantage of your device's camera for the "Photo" portion.
After you fill out and submit the form, you will be redirected to a log-in screen. At that screen, please enter the email address and password that you specified here. Please take note of (write down, save) your credentials so you can log on at your convenience. You'll want to use this portal to receive up-to-date information about: your child, schedule changes, etc.

Guardian email

You will use this e-mail address as your username to log in so that you can add or edit your child(ren)'s records. This authentication helps us to be certain that the person who filled out this form will be the same person who is enrolling students.

Password

Confirm Password

Guardian first name

Guardian last name

Guardian phone number

Enter phone number in 'xxxyyyzzzz' format (i.e. 3147660123)

Street address

Town

Relationship to child

Guardian birth year

Used to authenticate you in case your browser or device doesn't work well with cookies.

Receive text alerts

I want to receive SMS alerts that tell me my child(ren)'s status throughout the night (made it to class, ate supper, etc.). I also understand that this feature is under development and may or may not come to fruition. I also understand that, to receive SMS messages, the phone number that I have entered needs to be SMS-capable. Finally, I agree to pay carrier charges (if applicable) to receive text messages.

Certification of authority

I hereby certify that the children I enroll in Elm Street Baptist Church's Bus Ministry program are under my legal care, and that I have the authority to enroll them into the program.

Photo

We need a picture of you to know who we're talking to in case: of an emergency; of a disciplinary call/visit; you need to pick up your child.