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MCPS Session 1 Summer School Registration
Regional Summer School Program - Montgomery County Public Schools - 850 Hungerford Drive, Room 147A - Rockville, MD 20850 - 301-279-3202

-- Complete all required fields. When you are finished, click the submit button.
-- Your completed registration form will be sent to the e-mail address provided on this form. Obtain all required signatures.
-- Forms are accepted via MCPS pony mail to the Regional Summer School office at the Carver Educational Services Center (CESC), Room 147A. Non-MCPS students only can submit via U.S. mail to 850 Hungerford Dr., Rockville, MD 20850. E-mailed forms will not be accepted.
-- Return of the signed registration form is required to begin the registration process.
-- Acknowledgement of the receipt of your form will be sent via e-mail.

An e-mail account is required for submission of this registration form. Notification of receipt of this registration form, course enrollment confirmation, and other important communications are sent via e-mail. Be sure to set your spam/junk filters to allow e-mail from @mcpsmd.org and @mcpsmd.net.

ID Number (six digits)
Non MCPS students: enter 000000 for now. A MCPS ID will be assigned to you later.
Your answer
Date of Birth
Click down arrow to view a calendar and make your selection.
MM
/
DD
/
YYYY
Age
Grade (Sept. 2017)
Student's Last Name
Your answer
Student's First Name
Your answer
Student's Ml
Your answer
Student E-mail
Be sure to provide an active e-mail address that you check regularly.
Your answer
Student's School Counselor
Make every effort to provide the counselor's name in order to facilitate the registration process.
Your answer
Parent/Guardian's Last Name
Your answer
Parent/Guardian's First Name
Your answer
Parent/Guardian's Ml
Your answer
Daytime Phone
Your answer
Evening Phone
Your answer
Parent/Guardian E-mail
Be sure to provide an active e-mail address that you check regularly.
Your answer
Address (number & street)
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Reason for taking this course
Student Accommodations
On the first day of class, parents and/or legal guardians should provide the summer school site administrator with a copy of the accommodations included on the student's Individualized Education Program (IEP) or 504 Plan (if applicable). A special educator will be on site.
High School
Select the school you currently attend.
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