High School Summer School Enrollment Form - May 31st-June 24th
This is the summer school enrollment form for students entering 9th-12th grade for the 2022-2023 school year.  If the student needs bus transportation, please return this form by May 6th to ensure bus transportation.
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Email *
Student Last Name *
Student First Name *
Student Middle Initial *
Student Birthdate *
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Student Home Phone Number *
Student Address.  Include street address, city, state, zip code, and county *
Emergency Contact Name & Relationship to Student *
Emergency Contact Number *
Other family members attending summer school *
Is your child currently receiving any special services in their school district? *
If yes, please identify below.  If no, type NA *
Is your child taking any medication at home? *
If yes, please list the names of the medication.  THERE WILL NOT BE ANY MEDICATIONS DISPENSED DURING SUMMER SCHOOL AS THERE IS NOT A CERTIFIED URSE ON DUTY. *
Name and phone number of student's physician *
Please enter your name below with the date to grant permission to the following statements:  In case of accident or serious illness, I request school personnel to contact me, alternate authorized persons, or the named physician.  If it is impossible to contact me, authorized persons, or the physician, the school personnel may make emergency arrangements as necessary to care for my child. *
TRANSPORTATION:  Will your child need to ride a bus to summer school? *
If your child will need bus transportation, please include the following information below:  1)Bus your child normally rides 2) Directions to your house 3)Nearest neighbor *
Grade Placement for the 2022-2023 School Year *
Please select the course you wish to take during Session 1 (May 31-June 10).  Students must attend each day for the full day in order to receive a 1/2 credit for the course. *
Required
Please select the course you wish to take during Session 2 (June 13-24).  Students must attend each day for the full day in order to receive a 1/2 credit for the course. *
Required
All high school students and parents understand that a student must attend each day of summer school to receive credit for the course/courses they have selected.  Each two-week summer school session will earn a student .5 credits towards high school graduation. *
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