Create An Account

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Is the student a previous GRIND student?

Student Legal First Name

Student Legal Middle Name

Student Legal Last Name

Student Legal Suffix

Student Gender

Student Preferred Pronouns

Student Preferred FIRST Name

Student Preferred LAST Name

Is this student on an IEP?

Student Date of Birth

Enrolling Grade

Student Phone

Can be used to text.

Can be used to text.

Student Email Address

Home/Residential Information

Address

PO Boxes are not accepted.

Apt / Unit / Ste

City

State

Zip

xxxxx OR xxxxx-xxxx

Mailing Address

Address

PO Boxes are not accepted.

Apt / Unit / Ste

City

State

Zip

xxxxx OR xxxxx-xxxx

Name of parent/guardian (or student if 18+) who is the employed.

Employed's Phone Number

Additional Information

Does the student or student's parent/guardian have a hearing impairment?

Yes, Student
Yes, Parent/Guardian
Yes, Both Student and Parent/Guardian
No, neither

Will the student require translation or interpretation services?

Welcome To Grind Prep Enrollment form. Please Follow These Steps To Continue.....

Home/Residential Information

Mailing Address

Additional Information

Contact Information

Parent Information

Contact 1 (This contact must be the person enrolling the student)

Contact 2 Contact Information

Student's Medical Information

Physician

Insurance

Health History

Proof of Residency

social media

get in touch

Information