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Military Impacted Schools Association
University of Northern Iowa
The Princeton Review
SkillsTutor
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Registration Form

 

Account Information

Account Email:

(This will serve as your Username to log-in)

required field This will be your permanent log-in Email, you may change your primary contact email below
Account Password:
required field
Confirm Password:
required field

Contact Information
 
Parent Name:
required field
 
Address:
 
City:
required field
 
State: required field
 
Zip Code:
required field
 
Military Installation:
required field  
Service Branch:
required field
 
Primary Contact Email:
required field This may be the same or different from your account email


Child Information
   
Child Name:
required field DOB: (mm/dd/yyyy format)
Child Name:
DOB:
Child Name:
DOB:

Child Name:
DOB:

Child Name:
DOB:



 
required field = Required

 
 
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