Edline Activation Request Form

You may use this form to request an activation code or to have your password reset in the event that you forgot it. Please complete all appropriate fields and then click the desired Submit button. Your request will be received by the Edline Administrator and handled as quickly as possible.

Your name

I am a:
Parent
Student
Teacher

For Parents

Child's Name

Grade Level 6 7 8

If you have any other children in the school, please enter their names here:

Enter your email address
(this is where your activation code or password will be sent)

Phone Number where you can be reached

Comments/Questions (optional)

For Students (or Teachers Requesting for Students)

Student Name	Student ID

Students, enter your first period teacher's name. Your information will be sent to him or her:

Comments/Questions (optional)