Signal Vine Registration Form

Signal Vine Registration Form

Please complete the form below to receive text messages from the College and Career Center team.
Student Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Student ID
What is your grade?*

9th grade10th grade11th grade12th grade
Student Phone Number

Area CodePhone Number
Email Address
example@example.com
Plans for after Graduation
If attending college, what is your intended college of enrollment?
Preferred Language
I agree that by providing my contact information and signing below, I will start receiving text messages from School District employees and/or contractors for the purpose of supporting post-secondary education (messages may start during Senior Year). I understand that standard text messaging rates apply, and I can opt out at any point by texting STOP or CANCEL. I understand that information I send to or receive from School District employees and/or contractors is reviewed by them and monitored by the district, and that all communications must adhere to the School District of Lancaster Code of Conduct.
Student Signature:*

Clear
If Under 18, Parent Signature:

Clear
Should be Empty: