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Online Student Enrollment
Account Request
This form is the first step to enrolling your new student online. Complete it to request an account that you will use to log in to a secure system.
Complete required fields to request an account to enroll your students.
Additional Information not collected here are required documents: You can upload the documents during this process,
or drop off at the Moses Lake Learning Services Center.  Please write your student’s name on the proof of residency.
1620 S Pioneer Way between 10:00am– 2:00pm  Monday-Friday
Immunizations – Signed by Parent/Guardian
Proof of Residency
Birth Certificate
High School Transcript (if applicable)
Enter the name of the legal parent/guardian of the student you want to enroll
Guardian contact information
Complete the security dialog
Asterisk (*) denotes a required field