Clovis Online School

IMPORTANT: You MUST live in one of the following counties to register: Fresno, Inyo, Kings, Madera, Merced, Mono, Monterey, Tulare, and San Benito.

Name Name First Last
Date of Birth Date of Birth / MM / DD YYYY
Phone Phone - ### - ### ####
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
What county do you live in?
Email
Current School
Current School District
Enrolling Grade Level
I heard about the Clovis Online School through...
If other, please specify
I will bring the following STUDENT paperwork to my Orientation appointment

I will bring the following STUDENT paperwork to my Orientation appointment Official withdrawal slip w/grades Current transcript for grades 9, 10,11, & 12 or Report card for grades 7, 8, & entering 9th grade Birth Certificate Immunization records (with TDAP) All students need 2nd Varicella shot, effective 7/1/19
Check all of the following services your child currently receives:

Check all of the following services your child currently receives: Special Education with IEP 504
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