Temporary Landing Page to Change Password

General

Company Name

Ignore if you are registering as an individual.

First Name *

Last Name *

Submit as a company

Email

Phone 1

Address Line 1

Address Line 2

City

State/Province

Zip/Postal Code

Country

Student Information

If you are a student this information should be populated.

Student

Yes

No

BUSD Student ID (if you are already enrolled in Berkeley School District)

Nickname

Student Graduation Year

Please let us know what gender you prefer.

Student Preferred Pronouns

Student Race/Ethnicity

Asian

Black or African American

Hispanic or Latino

More than one race

White

Middle School

Student Private Music Teacher

Student Music Teacher Email

Parent Information

If you are a Parent of a BHS Student, you should fill out this information.

Are you a Parent or Guardian of a Student?

Yes

No

Student Name/s