2019 Summer School Registration Form
IMPORTANT DATES:
     Summer School Session:   June 17, 2019 - July 25, 2019
     Deadline to Register:           June 13, 2019

IN-DISTRICT COST:
     Credit Recovery.....................................................$175.00
     Free & Reduced Credit Recovery..........................$85.00
     Special Education Credit Recovery.......................FREE
     Enrichment (credit)................................................$260.00
     Free and Reduced Enrichment..............................$130.00
     Middle School (non-credit)....................................$60.00
     Free & Reduced Middle School (non-credit).........$30.00
     World Language.....................................................$300.00
     Free & Reduced World Language..........................$150.00
     Prepworks SAT/ACT ONLY.....................................$150.00

OUT-OF-DISTRICT COST:
     Credit Recovery.......................................$200.00
     Middle School (non-credit).....................$100.00
     Enrichment (credit).................................$300.00
     World Language......................................$350.00
     Prepworks SAT/ACT ONLY.....................$175.00

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Choose School *
Student ID Number *
(If out-of-district, enter name of school district student attends)
Date of Birth *
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DD
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YYYY
Student Name *
Student Grade Level
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Does your student have any special designations?
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Electronic Signature of Parent or Guardian *
Home Phone Number *
Cell Phone Number *
Parent E-mail Address *
Student E-mail Address *
Emergency Contact Name *
Emergency Contact Phone Number *
Emergency Contact Relationship *
Health Concerns *
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