Summer Session Registration Form
Monday - Thursday: June 5th (Wednesday) - June 25th (Tuesday)
M-Th only
*Transportation not available
*Registration does not guarantee acceptance
*Deadline: May 15th
Student First Name *
Student Last Name *
Student ID# *
Current Grade (2018-2019 School Year) *
Email Address *
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: *
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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