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2018-19 Pre-Registration Form
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 *
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 *
Your answer
Current Teacher *
Current Counselor *
Do You Plan on Returning to Clovis Online School Next Year? *
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