Parent/Guardian Name:
Parent/Guardian Email:
Parent/Guardian Phone #:
Child's Full Name:
Child's Date of Birth:

Select the school where your child is currently attending:
Ashville Elementary
Ashville Middle
Ashville High
Moody Elementary
Moody Middle
Moody JR High
Moody High
Margaret Elementary
Odenville Elementary
Odenville Intermediate
Odenville Middle
St. Clair County High
Springville Elementary
Springville Middle
Springville High
Ragland High
Steele JR High
SCC Virtual Prep Academy

*All fields are required with the exception of the email and phone number.
Only one contact method is required, but both are preferred.