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Cottonwood Online Institute Registration
Please fill out a new form for each student in the family to be enrolled
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* Indicates required question
Student Legal Name (Last, FIrst) example Smith, Kori
*
Your answer
Student's grade
*
Choose
K
1
2
3
4
5
6
7
8
Student's BIrthdate
*
MM
/
DD
/
YYYY
School last attended
*
DDB
CES
CCS
MVP
OCS
Other:
Name of person filling out the form
*
Your answer
Relationship of person filling out the form
*
Your answer
Phone for person filling out the form
*
Your answer
Email for person filling out the form
Your answer
Will you need a Chromebook?
*
Yes
No
Will you need a hot spot wifi unit?
*
Yes
No
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