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2018-19 Credit Recovery Registration Form
This form is for 9th-12th Grade Credit Recovery/Remediation ONLY.
Last name
Your answer
First Name
Your answer
Student Email
Your answer
Parent Name
Your answer
Parent email
Your answer
Student's Current Grade Level
If this student has an IEP or 504 Plan, please indicate below. If not, please leave blank.
Please Select Course(s)
Please select all that apply. Depending on your counselor's recommendation, the schedule of classes, and the amount of work needed, you may not be able to complete more than one course.
Your Counselor
Please don't forget to hit "SUBMIT!"
You will receive an email confirmation of your submission. Please check the Martinez USD website for the most current information about credit recovery/summer school. You may also email
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