JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2017 Summer School Registration
2017 Summer school (grades 9 - 12) will run from June 5th - June 29th; Monday - Thursday from 9:00am - 12:00pm
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Please provide student's first name
Your answer
Please provide student's last name
Your answer
School currently enrolled in
PHS
PCS
RCMS (8th grade only)
Clear selection
What is your cell phone number?
Your answer
Please provide your parent/guardian first and last name
Your answer
Please provide your parent/guardian's cell phone number
Your answer
Please provide your parent/guardian's email address
Your answer
Are you interested in enrolling in one of the following English courses? If so, which one?
English 9A
English 9B
English 10A
English 10B
English 11A
English 11B
None of the above
If you chose an English course in the previous question, please indicate if you're interested in taking it for credit recovery or for acceleration.
Credit recovery
Acceleration
Clear selection
Are you interested in enrolling in one of the following math courses? If so, which one?
Algebra IA
Algebra IB
Geometry A
Geometry B
Algebra IIA
Algebra IIB
None of the above
If you chose a math course in the previous question, please indicate if you're interested in taking it for credit recovery or for acceleration.
Credit Recovery
Accelerated
Clear selection
Are you interested in enrolling in one of the following science courses? If so, which one?
Biology A
Biology B
Physical Science A
Physical Science B
none of the above
If you chose a science course in the previous question, please indicate if you're interested in taking it for credit recovery or for acceleration.
Credit Recovery
Accelerated
Clear selection
If you are interested in a course that was not listed in the above questions, please identify it here.
Your answer
There will be a $100 fee for each .5 credit course taken. By checking the box below, you are indicating that you are aware of this cost. Please provide any other necessary information if you feel it's needed.
I understand, and will pay the $100 fee.
Do you wish to have school transportation to and from summer school?
YES
NO
Clear selection
If you indicated in the previous question that you would like school transportation, please indicate your current bus route number and bus number.
Your answer
Breakfast and lunch will be availabe to all students and will be served in the RCMS cafeteria. Are you interested in taking advantage of this service?
YES
NO
NOT SURE AT THIS TIME
Clear selection
Thank you for completing this form. Please submit your summer school fee ($100.00/.5 credit course to the PHS bookstore by May 5th. After this date there will be a $10.00 late fee).
Your answer
Please contact Renae Short at 472-5763 or Linda Gibson at 472-5895 with questions, comments, or concerns.
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Payson Unified School District.
Report Abuse
Forms
