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Registration for Online Anytime School

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

275 Center St.

Seville, OH 44273

If you would like to pay by credit card, please contact Jennifer Gannon at (330) 723-6393 ext. 601530

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 type the answer to the question.