Johnson County School District #1
Please fill out this form for each student you are registering to begin the registration process. Please allow one business day to process your request. You will receive an email with instructions for the next step.


Student Information
Legal Name from Birth Certificate
**First Name: Middle: **Last:
**Date of Birth: mm/dd/yyyy
**Gender:
Preferred First Name:
**School:
**Previous School:
Enter NONE in all three boxes
if Kindergarten student
School Name:
City:
State:
**Next Year's Grade Level:
**Anticipated Start Date:
Current Special Programs IEP 504 ELL Speech Therapy
Guardian Information
**First Name: **Last Name:
**Relationship to Student:
Other Students in Family: Check this box if other members of your family are active students at our schools
**Desired User Name: Desired User Name for PowerSchool Login
**Email:
**Phone: 999-999-9999      Alternate Phone: 999-999-9999
**Street:
**City:
**State:
**Zip Code:
**Verification: I verify that the above information is correct
** Required Information