Some courses have prerequisites. Please check before enrolling. Registration does not guarantee enrollment. If your school is not listed, please contact Roseanne Redfearn at 909-980-6490 ext.1280 for information on how to register.

* 4. Student's Last Name:

* 5. Student's First Name:

* 6. Address:

* 7. City:

* 8. State:

* 9. Zip Code:

* 10. Date of Birth:

* 14. Student Cell Phone Number:

* 15. Student Email Address:

* 16. Parent Home/Cell Phone Number:

* 17. Parent Email:

* 18. Emergency Contact Name:

* 19. Emergency Contact Phone Number:

* 20. How did you hear about Baldy View ROP? Check all that apply:

* 21. Long Student ID# (if known):

Thank you for applying to enroll in a Baldy View ROP course! You will receive correspondence when your registration has been confirmed.

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