Email address
Name:
Student 1 Name:
Date of Birth Student 1:
Student 2 Name:
Date of Birth Student 2:
Student 3 Name:
Date of Birth Student 3:
Student 4 Name:
Date of Birth Student 4:
Student 5 Name:
Date of Birth Student 5:
Student 6 Name:
Date of Birth Student 6:
All relationships will be verified with Pupil services before Parent Portal Accounts are created.
Passwords will be emailed to the address provided
Questions? Email isd@binghamtonschools.org
Electronic Signature*
By selecting this checkbox, I verify that the above information is correct and I am the parent and/or legal guardian of the Binghamton City School District student(s) listed.