EasterN Idaho —
Pre Registration

You must register for this class with your local high school counselor so that it is on your class schedule!!

Student Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Student Email

Student Phone Number

(###)

###

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Grade

Which High School do you attend?

Where do you attend church? (if applicable)

Parent Name

First Name

Last Name

Parent Email

Parent Phone Number

(###)

###

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preregister