Online Course Registration
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First Name *
Last Name *
School Email *
Date of Birth *
MM
/
DD
/
YYYY
Home Phone Number *
Street Address *
City *
Zip Code *
Graduation Year *
Ethnicity *
Primary Access *
Guardian Name *
Guardian Email *
Course(s) registering for *
Have you completed an online course at Dock before? *
Desired Start Date *
(enter immediately if you're ready to go)
Desired End Date *
(must be completed by 1 week prior to end of quarter for which you wish to receive credit)
Submit
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