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Registration for CdA eSchool
Please complete a separate form for each child.
Email address *
Name of parent/guardian completing this form *
Student's LEGAL First Name *
Student's LEGAL Middle Name
Student's LEGAL Last Name *
Student's Date of Birth *
MM
/
DD
/
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Student is presently enrolled for 2020-21 School Year *
Grade Level of Student for 2020-21 School Year *
Reason for requesting attendance in the online school
Is the student you are registering for online school currently eligible for Special Education services (IEP, 504 Plan) or an English Learner?
If this student is on an IEP or 504 Plan, please describe school services received:
This student has access to the following device(s) for use with online learning *
Required
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