| |
|
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Student: __________________________________________
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Address: _________________________________________
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Telephone Number: ___________________________
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DOB: ______________________
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Grade (2006-2007): _______________
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| Summer School Course: |
Session I: ____________________
|
| |
Session II: ___________________ |
| Amount Due: |
| Deposit $_________________ |
_________________________________ |
| |
Counselor signature
required for repeater course |
| |
|
I have read and understand the AHS Summer School program.
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___________________________________________ |
________________________________ |
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Student signature |
Date |
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___________________________________________ |
________________________________ |
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Parent signature |
Date |
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___________________________________________ |
________________________________ |
|
Parent name (print) |
Phone # |
