BLPO K-5 Registration 2020-2021
This is the form for both full-time and supplementary K-5 registration for Bend-La Pine Online for the 2020-2021 school year. Please only complete this form if you are ready to commit to online classes through our program for at least the first semester (February 5th, 2021) if not the entire 2020-21 school year.

Please note we need a separate form for each student you wish to enroll with Bend-La Pine Online. We are sorry to make you duplicate the family and learning coach information each time, but with our higher than normal volume of enrollment this will insure that we don't miss anyone. The link for a new form will be available after each submission.

If you are not ready to commit to the Bend-La Pine Online program at this time, please wait to fill out this form! Space in our program is NOT limited and you have time to make up your mind.

Once our staff processes your registration we will start the account generation process for learning coaches, parents and students. We will also initiate the shipment of materials to the address you provide. (Note that it can take 2-3 weeks for physical materials to be delivered.)

If you are only looking for more information about the online program and are not ready to register, please fill out our separate inquiry form linked here: https://forms.gle/TV7RZmJTeS8k2Uyv7
Email address *
Student First Name *
Student Last Name *
Parent First Name *
Parent Last Name *
Parent Email Address *
Parent phone number *
Please choose one of the following options: *
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