2019 SWCSD Summer School Registration
Welcome to Summer School Registration. Summer school is a credit recovery option for high school students. The only courses available for first-time credit are health, physical education, and American Government, all others are credit recovery only.

Summer school dates are June 10 - 28, 2019, Monday - Friday, from 8:00 a.m. - 12:30 p.m. at Central Crossing High School.

Students MUST attend all 15 days to complete the required seat time. All the information requested below is required to complete the registration. Full payment of $175 (resident fee) or $350 (non-resident) is due at time of registration. If you have any questions, please contact the student's school counselor.

Email address *
Student ID # *
Select Student's School *
Are you a current student at the South-Western Career Academy (SWCA)? *
Current Grade *
COURSE LIST - Which course are you enrolling for summer school? You can only take one course. Note: Courses in this list that have an "*" can be taken for first-time credit, all others are credit-recovery only. *
Student's First Name *
Student's Last Name *
Student's Birthday *
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DD
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Home Street Address *
Apartment or Lot #
City *
State *
ZIP Code *
Parent/Guardian's Name *
Emergency contact phone number(s) for the parent/guardian listed above. You can list more than one. *
Payment Method (check all that apply) *
Please make your check or money order payable to: South-Western City School District. Write your student's full name and the summer school class in the note section of your check or money order. *
Required
Amount Paid (Amount Due: $175 resident; $350 out-of-district) *
*If paying by check or money order, list the number on the line below. After May 31, 2019, we will only accept CASH or CREDIT CARD payments: *
Returned Check or Denied Charges Notification: *
Required
Transportation to Summer School *
Required
For current seniors: Will you be eligible to graduate in August 2019 if you pass summer school? *
ADDITIONAL EMERGENCY CONTACT INFORMATION - Please provide the contacts' name, relation to the student, and a contact phone number. You can list more than one. *
STUDENT'S MEDICAL INFORMATION: Please list below facts concerning the student's medical history, including allergies, medications currently taking, and any physical impairments to which a physician should be alerted in an emergency: *
Does the student have an active IEP or 504 Plan? If so, a copy should be provided for the summer school teacher. *
EMERGENCY CONSENT (PART I or PART II must be completed.) *
PART I - To GRANT Emergency Consent (By making a selection in this box, I grant consent as stated here.)
Please list your preferred physician and dentist here with the office phone numbers: *
Please list your preferred hospital here: *
PART II - To REFUSE Emergency Consent: By making a selection in this box, you are refusing consent for emergency medical treatment of your student. (Do NOT complete this section if you completed PART I - Consent section above.)
In the event of illness or injury requiring emergency treatment, I wish the school authorities to take the following action. Please explain: *
Refund Policy (Read and check each box below indicating you have read and understand each comment.) *
Required
Summer school fees can be paid in the activity clerk's office at the school. After May 31, 2019, CASH-ONLY payments will be accepted at SWCSD District Service Center at 3805 Marlane Drive, Grove City, Ohio. Don't forget the receipt for your proof of payment.
If you have any questions regarding summer school, please contact the school counselor for assistance. After May 31, 2019, please call 614-801-3000, ext. 3085. We look forward to seeing you at 8:00 a.m. on June 10, 2019, at Central Crossing High School.
Please enter the name of the person completing this registration form and your phone number for any follow-up questions. *
Your registration is almost complete. After you answer all the questions, scroll down, and click "SUBMIT." If you don't click "SUBMIT" your registration information will not be recorded and your student will not be registered for summer school.
A copy of your responses will be emailed to the address you provided.
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This form was created inside of South-Western City Schools.