Night School Registration

Name

First NameLast Name

Student ID#

Numbers Only

Email

example@example.com

Phone Number

Area CodePhone Number

Counselor

Grade

Students may take ONE night school course per term.

Night school is for recovery credit ONLY.

Each class costs $50.00 that must be paid upfront.

Term 1: August 31-October 9
Term 2: October 19-December 11
Term 3: January 19 – March 5
Term 4: March 29 – May 14

Term

Math

English

Social Studies

Science

Biology ABiology BChem AChem B

By submitting this form, students accept that they will be billed the cost for each night school class taken. You will receive a confirmation email once approved.

Classes will not be registered until approved by your counselor.

For Office Manager Use Only

Amount Due:______________
Amount Paid:______________
Balance:__________________

Parent Signature:___________________

Office Manager:____________________

Counselor:________________________