Harrisburg Dual Credit Registration

Student First Name

Student Middle Name

Student Last Name

Student Birthdate

Student Email Address

Parent Name

Parent Email Address

Student Cell Phone Number

Sex at birth:

Female

Male

Other

Student Social Security Number - this field is required for 1098-T tax form purposes

Mailing Address

Country

Street

City

Region

Postal Code

What year will you graduate high school?

The courses listed below are the course names at Harrisburg High School, with instructor last name in parentheses.

Amount Due
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Amount Due