2019 Summer School Registration Form
IMPORTANT DATES:
Summer School Session: June 17, 2019 - July 25, 2019
Deadline to Register: June 13, 2019

IN-DISTRICT COST:
Credit Recovery.....................................................$175.00
Free & Reduced Credit Recovery..........................$85.00
Special Education Credit Recovery.......................FREE
Enrichment (credit)................................................$260.00
Free and Reduced Enrichment..............................$130.00
Middle School (non-credit)....................................$60.00
Free & Reduced Middle School (non-credit).........$30.00
World Language.....................................................$300.00
Free & Reduced World Language..........................$150.00
Prepworks SAT/ACT ONLY.....................................$150.00

OUT-OF-DISTRICT COST:
Credit Recovery.......................................$200.00
Middle School (non-credit).....................$100.00
Enrichment (credit).................................$300.00
World Language......................................$350.00
Prepworks SAT/ACT ONLY.....................$175.00
Choose School *
Student ID Number *
(If out-of-district, enter name of school district student attends)
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Student Name *
Your answer
Student Grade Level
Does your student have any special designations?
Electronic Signature of Parent or Guardian *
Your answer
Home Phone Number *
Your answer
Cell Phone Number *
Your answer
Parent E-mail Address *
Your answer
Student E-mail Address *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Emergency Contact Relationship *
Your answer
Health Concerns *
Your answer
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