Huntington County Community School Corporation (HCCSC) Virtual Option pre-registration form
Please complete a separate form for all students you would like to enroll in HCCSC Virtual option for the 2020-2021 school year.
Is your student currently enrolled at HCCSC? *
Student Name *
(First and Last Name)
Student Date of Birth *
MM
/
DD
/
YYYY
Grade Level for the 2020-2021 school year *
Does your student receive any of the following services? *
Please check all that apply
Required
Parent Name *
First and Last Name
Street Address *
example 123 Main St.
City *
State *
Zip *
Phone Number *
(000) 000-0000
Submit
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