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Online Anytime School Course Registration
Please confirm your course selection with your guidance counselor prior to registering.

Student Fee:  
$225/.5 credit course
$350/1 credit course
*Coursework must be completed within 90 days of registration.
*Special permission required for more than 1 course.

Checks Payable to:  ESC of Medina County
Mail payment to:
     Jennifer Gannon
     Educational Service Center of Medina County
     124 W. Washington St.
     Medina, OH  44256

If you would like to pay by credit card, please contact Jennifer Gannon at (330) 723-6393 ext. 125

REGISTRATION IS NOT COMPLETE UNTIL PAYMENT IS RECEIVED.

Student Name
Parent/Guardian Name
Address
City
State
ZIP code
Home Phone
Cell Phone
Student Date of Birth
Student Email
Parent/Guardian Email
School attending
Grade enrolled
Have you consulted with your school counselor to confirm that this is the appropriate course needed?
Course(s) requested
Your Name:
Your Email:

To validate your submission, please answer the following math problem:

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124 W. Washington St.    |     Medina, OH 44256    |     Phone: 330.723.6393    |     Fax: 330.723.0573    
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