Clearview Regional School District - Summer Course Registration Form
Please submit a check made payable to Clearview Regional School District.
Submit to: Mimma Careless - High School, School Counseling Office (Guidance Office)
625 Breakneck Road Mullica Hill, NJ 08062
Registration and payment in full required by Monday, June 3. SPACE IS LIMITED. FIRST COME, FIRST SERVE
Student Name: *
Your answer
Parent/Guardian Name: *
Your answer
Contact Phone #: *
Your answer
Email Address: *
Your answer
Check #: *
Your answer
Summer Courses *
Current Grade Level *
School (if out of CHS district):
Your answer
Electronic Signature
The electronic signature below, and all of its related fields, replaces a handwritten signature.
Type Name Here
Your answer
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