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Parent/Guardian Information
* Indicates a required field |
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First Name
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*
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Last Name
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* |
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Email Address
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*
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Your Address
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Street Address
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* |
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City
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*
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State
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*
(Only Ohio residents are
eligible to enroll in ECOT) |
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ZIP
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*
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County of Residence
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*
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Home Phone
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*
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Where did you hear about ECOT:
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*
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Reason for choosing ECOT: |
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Do you want to use your own PC instead
of an ECOT PC? |
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For which
school year do you want to apply? |
*
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How would
you like to receive your Enrollment Packet? |
*
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Potential ECOT Students
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Student #1
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First Name:
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* |
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Last Name:
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* |
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Entering Grade:
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*
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Student #2
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First Name:
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Last Name:
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Entering Grade:
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Student #3
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First Name:
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Last Name:
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Entering Grade:
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Student #4
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First Name:
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Last Name:
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Entering Grade:
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Electronic Classroom of Tomorrow. All Rights Reserved.
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