Affton High School Summer School Registration 2015 Summer School Dates: PE and Health: June 4 – July 1 Morning Session Times: 7:45 am – 10:45 pm ***Note: Lunch is from 10:4511:05 for Afternoon Session Times: 11:05 am – 2:05 pm students attending both sessions Student Name:________________________ Grade Level:_____ Address:__________________________________________________________ Name of Parent/Guardian:___________________________________________ Home Phone:____________________Work:___________________Cell:______________________ The classes being offered this summer are listed below. You may request more than one class, st nd but you will need to show your 1 choice, 2 choice, etc. Seating is limited and courses will be offered based on student enrollment, and preference will be given to students who have failed the class or are repeating for a better grade. All courses are 4 weeks in length. Morning session 7:4510:45 Afternoon session 11:052:05 *PE *Health Please Circle : Involved in PLTW Band Orchestra Choir Transportation Information: Must be filled out to receive transportation from the district . I will need transportation to school: YES or NO If Yes, make sure the address above is correct I will need transportation home from school: YES or NO ***Please Note: There is no district provided transportation available for students ending at 10:45 or students starting at 11:05. You will be responsible for the transportation . _________________________ __________ _______________________ ________ Student Signature Date Counselor Signature Date Return this form to the Counseling Department in the AHS office by May 22. . Please complete both sides of the form. Student Writing/Photo/Video Permission On occasion, students’ writing (poetry, short stories, etc.), photos, or video may be used in area newspapers, district and school publications or, in some instances, television. _____ I give permission for my child’s writing, photo, and/or video to be published and/or displayed. _____ I do not give permission for my child’s writing, photo, and/or video to be published and/or displayed. Computer/Internet Use Agreement Your child’s summer school class may be using computers and, at times, the Internet. Students are expected to use the equipment appropriately and follow rules established by the teachers and the Affton School District. Once enrolled, the district Computer/Internet Use Agreement must be signed by student and parent before beginning summer school classes. _____ I give permission for my child to use computers and the Internet with his/her classroom. _____ I do not give permission for my child to use computers and the Internet with his/her classroom. I understand that attendance at summer school is essential to success in the course(s) and if a student is absent more than one day during the twoweek term (2 days for a fourweek course), they may be dropped with an F in the course. All Affton High School and Affton School District rules apply to students during summer school. ______________________________ ______________________________ Parent Signature Student Signature
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