Lewis-Palmer Online Middle School Interest Form
Please complete this form to indicate your interest in online learning for the upcoming semester. Classes are filled on a first come, first served basis and we recommend completing this process as soon as possible. Online classes start on August 19, 2020 and registration options will begin to diminish in September.
Student Last Name *
Your answer
Student First Name *
Your answer
Student Grade (for Fall 2020) *
Student ID # *
Your answer
Student School Email (firstname.lastname@lewispalmer.org) *
Your answer
Home Phone *
Your answer
Student Cell Phone *
Your answer
Parent/Guardian Name (First Last) *
Your answer
Parent/Guardian Email *
Your answer
Parent/Guardian Phone *
Your answer
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