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2020-21 Pre-Registration Form
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* Indicates required question
Last Name, First Name (Student)
*
Your answer
Student ID Number
*
Your 9-digit CUSD code (Edgenuity password)
Your answer
Student Phone Number
*
(xxx) xxx-xxxx
Your answer
Student Email Address
*
Example -
firstlast@gmail.com
Your answer
Last Name, First Name (Parent/Guardian)
*
Your answer
Home Address
*
Example - 1655 David E. Cook Way
Your answer
Home City
*
Example - Clovis
Your answer
Home Zip Code
*
Example - 93611
Your answer
Parent/Guardian Phone Number
*
(xxx) xxx-xxxx
Your answer
Parent/Guardian Email Address
*
Example -
firstlast@gmail.com
Your answer
Current Teacher
*
Choose
Bronzini
France
Hannah
Hernandez
Mammen
Mushegan
Natsues
Nevills
Reyna
Riofrio
Sanders
Shelby
Tockey
Tovar
Whitsitt
Current Counselor
*
Choose
Kapigian
Patterson
Wulf
Do You Plan on Returning to Clovis Online School Next Year?
*
Yes
No
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