City of Baker School System Distance Learning Virtual Academy Registration Form SY 2020–2021
Use this form to submit an application for CBSS Distance Learning Virtual Academy for the 2020-21 school year.  **Remember, you are completing an application for 100% online learning for the 2020-2021 school year.
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Student Last Name *
Student First Name *
Date of Birth *
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Student grade level for the 2020-2021 school year *
School your child is scheduled to attend for the 2020-2021 school year *
Parent/Guardian Name *
Parent/Guardian Phone *
Parent/Guardian Email Address *
Please list the reason(s) for choosing to register to CBSS Distance Learning Virtual Academy. *
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