NHS SUMMER MINI-MESTER 2019
Summer Session Registration Form
Monday - Thursday: June 5th (Wednesday) - June 25th (Tuesday)
*Transportation not available
*Registration does not guarantee acceptance
*Deadline: May 15th
Student First Name
Student Last Name
Current Grade (2018-2019 School Year)
Do you want your name on the NCSS Breakfast and Lunch Roster?
Do you have an active Connexus Course?
Which courses do you need to make-up? Algebra I and Geometry is only open to 11th and 12th graders.
Choose you registration option:
Single Session: Morning 8:00 AM - 11:45 AM
Single Session: Afternoon 12:15 PM - 3:30 PM
Double Session: All Day 8:00 AM - 3:30 PM
Primary parent/guardian name
Primary parent/guardian daytime phone number
Primary parent email address
Emergency contact name
Emergency contact phone number
Please list any medical conditions, allergies, or special needs of which we need to be aware
I have read and understand that all normal NHS school rules will apply. Also, students can be removed from the program for behavior, attendance, work progression, and other issues. Sign with name below.
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