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2021 SSHS Summer School Registration Form
Please fill out this form in its entirety. You will need to complete this form in one sitting and submit it only one time. If you have more than one student who will be attending, each child will need to have a registration completed and submitted.
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* Indicates required question
Student's Last Name
Your answer
Student's First Name
Your answer
Student's Birthdate
Your answer
Student's Gender
Female
Male
Prefer not to say
Other:
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Current Grade
8th
9th
10th
11th
12th
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Parent/Guardian with whom the student lives: Last, First Names
Your answer
Relationship to student
Your answer
Parent/Guardian's Address (with zip code)
Your answer
Parent/Guardian's Home Phone Number
Your answer
Parent/Guardian's Cell Phone Number
Your answer
Parent/Guardian's Work Phone Number
Your answer
Can your child be photographed? May your child participate in any interview, photographs, videotapes, yearbook, or web site in respect to school news stories or instructional/ informational programs or projects?
Yes
No
Clear selection
Emergency Contact Information: Last, First Name
Your answer
Emergency Contact Phone number
Your answer
Does student have a device to do work on? (Example chromebook)
Yes
No
Clear selection
If your device came from district #186, what school or building issued it?
Your answer
Does student have internet access?
Yes
No
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Home school
Your answer
Home district (Out of district students must provide a letter of good standing)
Your answer
Summer School Form 1
Summer School Form 2
Class 1 request
Your answer
Class 2 request
Your answer
Class 3 request (can choose up to 3)
Your answer
Your student will abide by all District 186 Student Handbook policies while enrolled in Summer School.
*
I have read and understand my student must abide by District 186's Student Handbook Policies while enrolled in Summer School at SSHS
Option 2
Students must engage in their summer school classes daily. If a student does not engage in the course for 4 or more days, they will be dropped from their Summer School classes and will not receive credit for the class.
I have read and understand the attendance policy for Summer School at SSHS
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By submitting this form, you are signing it as well as committing your student for all of the dates in order for them to receive all that the program has to offer. You are also understanding that the District 186 Code of Conduct is in full force while my student is participating. In the event of illness or accident to my child and I can cannot be reached, I authorize my child to be provided with such first aid advisable and necessary by school personnel.
Yes, I am signing and understand.
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