2021 BHS Summer School Registration
Final registration will close June 27, 2021  
Please email questions to Brendan_Kobus@psbma.org

PAYMENT:
Make checks out to: "Town of Brookline" with "Summer School" in the memo
Mail checks to: Brendan Kobus @BHS, 115 Greenough St, Brookline MA 02445

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Student First Name (official) *
Student Last Name (official) *
Student Date of Birth MM/DD/YYYY *
MM
/
DD
/
YYYY
Age *
Street Address *
City and Zip Code *
Student School Email (e.g. 24smithj@brooklinek12.org) *
Parent/Guardian Name *
Parent/Guardian Phone/Cellphone *
Parent/Guardian Work Phone *
Parent/Guardian Email *
COURSE SELECTIONS
Course #1 Name *
Course #1 Cost *
Course #2 Name
Course #2 Cost
Course #3 Name
Course #3 Cost
Total Tuition Cost $ or Enrichment only *
I am enrolling in the following courses for Original Credit / Make-up Credit / Enrichment: (choose one) *
I, _____________________________________ (insert student’s full name) have read the contents of the policy notice and agree to adhere to the rules and regulations contained herein.  I understand that the disciplinary offenses described in the Brookline High School Student Handbook pertain to the summer session as well. *
Required
Upon full tuition payment and completion of the course/s, I would like Brookline High School to mail an official Report Card to street address below: *
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