High School Registration Form for Summer School
July 7th - August 13th (Monday-Thursday)
Important Note: A Student Must Sign The Summer School. Contract To Be Eligible To Take Courses.
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Student Name
Grade Level *
Student Email *
Student Cell Phone Number *
DOB *
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/
DD
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YYYY
Home Address *
Parent Name *
Telephone *
Parent Email *
Ethnicity: *
Home School District: *
CSE:
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Emergency Contact *
Emergency Telephone # *
Please check all courses you are registering for. *
Required
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