Request to Register Organization

Please use this form to register your accredited school, afterschool program, or community organization. During the verification process, you may be asked to provide additional information. Once your registration form is approved, you will be issued an organization account identifier that you can use to register students for programs.

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School Name *

Street Address

City

State

Zip Code

Representative Name *

First

Last

Representative Email *

How would you classify your organization? *

• Public School
• Private School
• Afterschool Program
• Community Organization
• Homeschool
• Other

Comment or Message

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