Educere Course Registration
If you are planning on taking a course through Educere, please complete this form after you have reviewed course descriptions in the Program of Studies.
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Email *
Counselor's Name *
Last Name *
First Name *
Birthdate *
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DD
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Grade level for 2020-2021 school year *
Expected year of high school graduation *
Course Name *
Term in which you will take course (If you are registering this spring, you will not know the term. Please leave blank)
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Student's email address (one you check regularly) *
Student Phone Number *
Student Street Address (include city, state and zip code) *
Parent/Guardian Last Name *
Parent/Guardian First Name *
Parent/Guardian Email Address *
Parent/Guardian Phone Number *
Signature of Student: The electronic signature below, and all of its related fields, replaces a handwritten signature on paper and is legally binding. I affirm that the information provided is true, correct and complete, to the best of my knowledge and belief. This electronic signature below and its related fields are treated by like a handwritten signature on a paper form. *
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