2022 Secondary  Summer School Registration Form
Dates: Wednesday, July 6, 2022 - Thursday, August 11, 2022
*There will be NO Summer School on Friday July 29th and Friday August 5th*

Time: 7:00 am - 12:00 pm Secondary

The 2022 Summer School Program will be in-person 5 Days a week and focus on providing opportunities for our students to practice skills, receive support and take part in standards-based programs.  

 Please complete the form for registration if you are interested in your child attending summer school.

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Email *
I understand that summer school will be in person 5 days a week and there will not be a remote option. *
Student Last Name *
Student First Name *
Counselor Name (this form is for High School Registration only) *
The following are the high school level summer courses that I would like to take. *
Required
Student Grade Level for next year (22-23) *
Student Cell Number
Student E-mail
Student Mailing Address *
Parent/Guardian Name *
Parent/Guardian Telephone *
Parent/Guardian E-mail
SUMMER SCHOOL HEALTH RECORD: (This part must be filled out out in its entirety) *
Does the student have any allergies to medications? If so, what medications? (write "none" if there are no allergies)
Does the student have any environmental or food allergies? *
If so, please explain. (Write "no" if there are no food allergies.)
Does the student have asthma? *
If so, please explain.  (Write "no" if student does not have asthma.)
Are there any medical conditions requiring special attention? *
If so, please explain.  (If none, write "N/A" for not applicable.)
Is prescription medication taken regularly? *
If so, please explain. (If none, write "N/A.")
I have read and agree to the Summer School rules and regulations outlined in the Summer School pamphlet. *
By placing your initials in the box, you agree to the Summer School rules and regulations.Your School Counselor will certify that you are eligible to take the courses/exams listed above and will register you accordingly.  You will be contacted via email or phone.
The code of conduct applies in summer school. Violations may result in the dismissal of summer school and no credit will be given.   *
Please put your name below indicating that you acknowledge that all rules will be followed in summer school.
I acknowledge that I can not miss more than three (3) summer school days.  If I miss four (4) days, I will be dropped from summer school. (This includes excused and unexcused absences.) *
please initial
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