Summer School: High School Credit Recovery 2022
REGISTRATION FORM 2022
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Email *
Student (last name, first name) *
Parent or guardian (last name, first name) *
Home address *
Parent or guardian email address *
Student email address
Phone number of best contact (___) ___-____ *
Current School (2021-2022) *
Grade level (2021-2022) *
Session I (8:00 - 10:00am)
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Session II (10:00 am - 12:00 pm)
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Session III (12:00 - 2:00 pm)
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Did your child receive special education services during the school year? *
SHS Student #
I [student] have read the following rules and guidelines and agree to the following:                                                                             Have a positive attitude.  Arrive to class on time. TARDY TO CLASS TWICE COUNTS AS AN ABSENCE. Unless verified by a doctor’s note MISSING A CLASS IS INEXCUSABLE. All assignments completed and submitted must be your own work. School rules relating to behavior, smoking, vaping, substance abuse, etc. while on school grounds can and will be monitored by the teacher and will be strictly enforced. Students involved in disciplinary situations will be dismissed for the day and/or expelled from a specific course. Dismissal or expulsion from the program for any reason will result in loss of credit. *
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A copy of your responses will be emailed to the address you provided.
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