Summer School 2020 Registration
Please respond to all questions on this form to register for summer school at NPHS. After completing this, please pay online via this link: www.payonlinenorthpenn.org beginning June 15th. If you do not pay at the separate website, the registration will not be valid. If you have any questions, please reach out to Dr. Rattigan at rattigsj@npenn.org
Email address *
Student's Last Name *
Student's First Name *
Current grade in 2019-2020 *
Student ID # *
Birthday
MM
/
DD
/
YYYY
Parent/Guardian First and Last Name *
Address (Street, city, zip) *
Primary Phone Number *
Emergency Contact Name and Phone Number *
First Course Name *
First Course Number *
Second Course Name (optional)
Second Course Number (optional)
Third Course Name (optional)
Third Course Number (optional)
Fourth Course Name (optional)
Fourth Course Number (optional)
Be selecting yes below, I understand that my student/I must abide by the rules and regulations set forth by the administrator and teacher or risk being dismissed from the program with no refund. I also recognize my student MUST be in attendance online, as directed by my teacher, or he/she will be removed from the program. *
AFTER CLICKING SUBMIT, YOU MUST PAY ONLINE HERE: https://www.payonlinenorthpenn.org, otherwise your registration will not be complete.
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This form was created inside of North Penn School District.