Part Time Registration 07-01-2023-2024

Hernando eSchool Course Registration Form for Hernando County High School and Middle School Students

Please use the secure form below to request registration for online courses with Hernando eSchool. You can use this form to register for one course at a time. If you need to register for more than one course, please fill out the form again. Required fields are marked with an asterisk (*).

NOTE: If you hit submit and get back to this form, you have made an error. If you successfully complete the form, you will get a confirmation message and an email.

Thank you for providing this information, in order to officially submit your application you must provide your signature below and click submit at the bottom of this page.

Please submit this registration form for course registration.

You must complete this form on a computer, if you attempt to complete it on your phone you will not be able to view the submit button.

If you have any questions please contact the Hernando eSchool office at 352-797-7072 (Hours are M-F 7am-3pm) or by email at fasting_r@hcsb.k12.fl.us

Page 1 of 5 - Student Information

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Student Name Student Name First Last
Hernando Student ID (No Leading Zeros or Letters)
Must be between 5 and 7 digits. Currently Entered: 0 digits.
If you are not sure what the number is, please check with your guidance counselor. We cannot register you without the correct number.
Enter the students birth date Enter the students birth date / MM / DD YYYY
Place a check next to the statement below indicating that you have read and understood the statement.

Place a check next to the statement below indicating that you have read and understood the statement. Hernando eSchool will enroll students through age 19. The student's age on the date of the course enrollment may not be older than 19.
Gender as stated on your birth certificate.
Current Grade Level
Student Email Address

Do not use parent or another teachers email. Your email needs to be used.
Student Phone Number Student Phone Number - ### - ### ####
Do you have a computer in your home?

Do you have a computer in your home? Yes - I have a computer at home. No - I do NOT have a computer at home.
Do you have internet access at home?

Do you have internet access at home? Yes - I have internet. No - I do NOT have internet.
You answered NO to one of the last 2 questions: How do you plan on working on this course when unable to complete the required assignments in school?

If you are not in lab class and answered yes to the last 2 questions, How do you plan on completing this course?

Part Time Registration 07-01-2023-2024

Part Time Registration 07-01-2023-2024

Page 1 of 5 - Student Information