Silver Stars: Create Account

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Parent/Guardian Information

* Parent/Guardian First Name

* Parent/Guardian Last Name

* Parent/Guardian Relation to Student

* Address

* City

* State

* Zip Code

* Cell Phone

* Work Phone

Survey

* How did you hear about Silver Stars?
Washington Parent
Washington Families
Parent Pages
Bethesda Magazine
Your Health
Friend
Phone Book
Internet Search
Other

Account Information

* Family Account Name

* Account Email Address (Username)

* Account Password

* Please repeat the password

Additional Email Address

Add Student

* First Name

* Last Name

Middle Name

* Gender

Male

Female

* Birthday

Phone

Same address as parent

(if not the same) Enter a different address:

* Address

* City

* State

* Zip Code

Add another student
(will open for 4 more students)

Add 2nd Student

* First Name

* Last Name

Middle Name

* Gender

Male

Female

* Birthday

Phone

Same address as parent

If not the same enter a different address:

* Address

* City

* State

* Zip Code

Add 4th Student

* First Name

* Last Name

Middle Name

* Gender

Male

Female

* Birthday

Phone

Same address as parent

If not the same enter a different address:

* Address

* City

* State

* Zip Code

Add 3rd Student

* First Name

* Last Name

Middle Name

* Gender

Male

Female

* Birthday

Phone

Same address as parent

If not the same enter a different address:

* Address

* City

* State

* Zip Code

Add 5th Student

* First Name

* Last Name

Middle Name

* Gender

Male

Female

* Birthday

Phone

Same address as parent

If not the same enter a different address:

* Address

* City

* State

* Zip Code

* Spam prevention - enter the code from the image.

* Required.

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