Mountain Grove Parents Online (POL) Request Form.

First name:
Last name:
Email Address:
Street Address:
City:
State:
Zip Code:
Home Phone:
Work Phone:
Student Name(s):
(One per line)

Account Information Notes
  • Complete this form in browser, then print for signature.
  • You may request to have your POL account activated only once per school year.
  • You may request to have your POL account deactivated only once per school year.
  • By requesting a POL account to view your students grades, you will no longer receive a mailed grade card.
  • Please submit the signed form to your child's school office. (Note: If you have children in multiple buildings you only need to submit the form to one building.)


    Requester Signature:_____________________________ Date: ____/____/____ Revised 20081017.1