Parent Assist Account Application

Important Information:

  • This application is for parents/guardians of students attending a school in the Bend-La Pine School district only.

  • Your application will be processed within 10 business days.
  • Processing your application includes verification of your relationship with the student(s) listed. You may be asked to visit a school and provide ID.
  • Once the application is processed you will receive a notification letter with your account information at the address provided below.

Complete the information below, then click on the "Send Now" button.  


Items denoted with a red asterisk * are required.
 * Your First Name:
 
 * Your Last Name:
 
 * Your Mailing Address:
 
 * City:
 
 * State:
 
 * Zip:
 
 * Home/Cell Phone:
 
 -  - 
(XXX)-XXX-XXXX
Work Phone:
 
 -  - 
(XXX)-XXX-XXXX
Enter each of your Bend-La Pine School's student(s) information below
 
(each student will be included on the Parent Assist account)
 * First Name
 
 * Last Name
 
 * Grade
 
 * School
 
 * Relationship to Child
 

* mother, father, step-mother, etc
 * Year of Birth
 
 * Does this student live with you?
 
First Name
 
Last Name
 
Grade
 
School
 
Relationship to Child
 

* mother, father, step-mother, etc
Year of Birth
 
Does this student live with you?
 
First Name
 
Last Name
 
Grade
 
School
 
Relationship to Child
 

* mother, father, step-mother, etc
Year of Birth
 
Does this student live with you?
 
First Name
 
Last Name
 
Grade
 
School
 
Relationship to Child
 

* mother, father, step-mother, etc
Year of Birth
 
Does this student live with you?
 
First Name
 
Last Name
 
Grade
 
School
 
Relationship to Child
 

* mother, father, step-mother, etc
Year of Birth
 
Does this student live with you?
 
Note: If you have additional students ...
 
Submit this form, then fill out additional form(s) as needed.