Summer School 2017 Enrollment Form
KHS Summer School 2017 will be held at Kearney Junior High from June 5th - June 30th. All classes will be assigned by administration and are dependent upon enrollment numbers. Please complete the Summer School Enrollment form below. Credit Recovery options are available for grades 9-12. Health and Personal Finance are for incoming 10th-12th grades.
Student's Last Name *
Your answer
Student's First Name *
Your answer
Grade entering August 2017 *
Your answer
Date of Birth *
Your answer
Home Address *
Your answer
Parent/Guardian name *
Your answer
Parent/Guardian Phone number *
Your answer
Parent/Guardian Email *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Please check the classes you are interested in taking *
Required
For Credit Recovery sessions, please check the session(s) you would like to attend
Please list the class(es) and semester for Credit Recovery sessions.
Your answer
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