BLPO Course Request 2019
Please use this form to request enrollment in or reinstatement of Bend-La Pine Online Courses. Information you provide will help us connect you with the correct Bend-La Pine Enrollment coordinator. Please fill out a new form for each student who wishes to enroll in online courses. You will find a link to start a new form each time the current form is submitted.
Student First Name
Student Last Name
This student is currently enrolled with the Bend-La Pine Schools:
Phone number our coordinators can call for more information about this enrollment:
Parent first name and last name
Parent's email address
Please select your grade level
Middle School 6-8
High School 9-12
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