New Student Enrollment
Email address *
What day(s)/location(s) are you interested in Enrolling? *
Please select at least one or more options.
Required
Email Address *
Please double check for accuracy, this is the email we will be using to send out the Class Selection form.
Your answer
Additional Email Address (optional)
Your answer
Your First and Last Name *
Your answer
Student's Last Name *
Your answer
Student's First Name *
Your answer
Student's Registration Code *
This is the 32 digit registration code located under the Student tab in the Summary section on Jeffco Connect. It's recommend that the code be copy and pasted for accuracy.
Your answer
Student's Age as of October 1st 2019 *
Your answer
Grade Going into for 2019/2020 School Year *
A copy of your responses will be emailed to the address you provided.
Submit
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