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LHS (classes of 2013-2016) SUMMER SCHOOL ENROLLMENT FORM
 Registration opens Monday, April 8, 2013 - 7:00AM & closes Wednesday, June 5, 2013 - 3:00pm in the Counseling Center

Student Name: _________________________________________________               Parent(s) / Guardian Name: _______________________________
Student Cell Phone # ____________________________________________             Parent Home Phone # ____________________________________
LHS Grade Level for 2013-2014 school year _________________________           Parent Work Phone # ____________________________________
STUDENT SIGNATURE: ______________________________                                      PARENT SIGNATURE: ________________________________
The signed and submitted application signifies that the parent and student understand and agree to abide by all the rules, policies and attendance requirements.
SIX WEEK COURSES – June 10th – July 18th
1ST PERIOD        7:45am – 10:25am     ___________________________________________                   ___________________________
                                                         Course Title                                      Semester (1 or 2)

2ND PERIOD                   ___________________________________________
                  10:35am - 1:15pm                                                                   ___________________________
                                              Course Title                                                Semester (1 or 2)
CONDENSED COURSES: June 10 – June 27


7:45am – 1:15pm   ____________________________________________________
                                    Course Title
________________________________________________________________________________________________________________________________________________

Non-Lindbergh Students ONLY ***Must also complete enrollment paperwork***

Student Social Security Number ___________________________                  Student Birth Date ________________________
Home Address _________________________________________                      City _____________________              Zip Code ____________
School Name __________________________________________
School Address ________________________________________                     City _____________________                   Zip Code ____________

Counselor or Principal Name ____________________________       Counselor or Principal Signature ____________________________
________________________________________________________________________________________________________________________



Office Use Only:                   Paid: ______________                     Check #_________________                   Received:_____________


                                                                                                                                                     10
LHS 2013 SUMMER SCHOOL
                                        FRESHMEN (CLASS OF 2017) ENROLLMENT FORM
  Registration opens Monday, April 8, 2013 - 7:00am & closes Wednesday, June 5, 2013 - 3:00pm in the Counseling Center

Student Name: _________________________________________________               Parent(s) / Guardian Name: _______________________________

Student Cell Phone # ____________________________________________             Parent Cell Phone # ____________________________________
STUDENT SIGNATURE: ______________________________                                      PARENT SIGNATURE: _______________________________
The signed and submitted application signifies that the parent and student understand and agree to abide by all the rules, policies and attendance requirements.
                                                               SIX WEEK COURSES – June 10th – July 18th
An incoming freshman student has two options of enrollment:
(1) Enroll in one period (.5 credit) either from 7:45 – 10:25am or 10:35am – 1:15pm or (2) enroll in two periods (1.0 credit) from 7:45am – 1:15pm
A student can ONLY register for personal fitness concepts for one period, not for both.
To enroll circle the course(s) under the class period of choice and return to his/her middle school.

1st Period 7:45-10:25am                                                                          2nd Period 10:35am – 1:15pm
        Arts and Crafts                                                                                  Arts and Crafts
        Driver’s Ed 1 (must be 15 yrs old by June 15; starts at 7:15)                                    Health
        Driver’s Ed 2 (street driving, times arranged with instructor, fee)                              Independent Living
        Health                                                                                           Personal Fitness Concepts
        Independent Living
        Personal fitness Concepts


Non-Lindbergh Students ONLY ***Must also complete enrollment paperwork***
Student Social Security Number ___________________________        Student Birth Date ________________________
Home Address _________________________________________            City _____________________              Zip Code ____________
School Name __________________________________________
School Address ________________________________________           City _____________________              Zip Code ____________

Counselor or Principal Name ____________________________                                   Counselor or Principal Signature ___________________

Office Use                Paid: ______________                        Check #_________________                         Received:_____________                      11

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Summer school 2013_10__11__12th_grade_enrollment_form

  • 1. LHS (classes of 2013-2016) SUMMER SCHOOL ENROLLMENT FORM Registration opens Monday, April 8, 2013 - 7:00AM & closes Wednesday, June 5, 2013 - 3:00pm in the Counseling Center Student Name: _________________________________________________ Parent(s) / Guardian Name: _______________________________ Student Cell Phone # ____________________________________________ Parent Home Phone # ____________________________________ LHS Grade Level for 2013-2014 school year _________________________ Parent Work Phone # ____________________________________ STUDENT SIGNATURE: ______________________________ PARENT SIGNATURE: ________________________________ The signed and submitted application signifies that the parent and student understand and agree to abide by all the rules, policies and attendance requirements. SIX WEEK COURSES – June 10th – July 18th 1ST PERIOD 7:45am – 10:25am ___________________________________________ ___________________________ Course Title Semester (1 or 2) 2ND PERIOD ___________________________________________ 10:35am - 1:15pm ___________________________ Course Title Semester (1 or 2) CONDENSED COURSES: June 10 – June 27 7:45am – 1:15pm ____________________________________________________ Course Title ________________________________________________________________________________________________________________________________________________ Non-Lindbergh Students ONLY ***Must also complete enrollment paperwork*** Student Social Security Number ___________________________ Student Birth Date ________________________ Home Address _________________________________________ City _____________________ Zip Code ____________ School Name __________________________________________ School Address ________________________________________ City _____________________ Zip Code ____________ Counselor or Principal Name ____________________________ Counselor or Principal Signature ____________________________ ________________________________________________________________________________________________________________________ Office Use Only: Paid: ______________ Check #_________________ Received:_____________ 10
  • 2. LHS 2013 SUMMER SCHOOL FRESHMEN (CLASS OF 2017) ENROLLMENT FORM Registration opens Monday, April 8, 2013 - 7:00am & closes Wednesday, June 5, 2013 - 3:00pm in the Counseling Center Student Name: _________________________________________________ Parent(s) / Guardian Name: _______________________________ Student Cell Phone # ____________________________________________ Parent Cell Phone # ____________________________________ STUDENT SIGNATURE: ______________________________ PARENT SIGNATURE: _______________________________ The signed and submitted application signifies that the parent and student understand and agree to abide by all the rules, policies and attendance requirements. SIX WEEK COURSES – June 10th – July 18th An incoming freshman student has two options of enrollment: (1) Enroll in one period (.5 credit) either from 7:45 – 10:25am or 10:35am – 1:15pm or (2) enroll in two periods (1.0 credit) from 7:45am – 1:15pm A student can ONLY register for personal fitness concepts for one period, not for both. To enroll circle the course(s) under the class period of choice and return to his/her middle school. 1st Period 7:45-10:25am 2nd Period 10:35am – 1:15pm Arts and Crafts Arts and Crafts Driver’s Ed 1 (must be 15 yrs old by June 15; starts at 7:15) Health Driver’s Ed 2 (street driving, times arranged with instructor, fee) Independent Living Health Personal Fitness Concepts Independent Living Personal fitness Concepts Non-Lindbergh Students ONLY ***Must also complete enrollment paperwork*** Student Social Security Number ___________________________ Student Birth Date ________________________ Home Address _________________________________________ City _____________________ Zip Code ____________ School Name __________________________________________ School Address ________________________________________ City _____________________ Zip Code ____________ Counselor or Principal Name ____________________________ Counselor or Principal Signature ___________________ Office Use Paid: ______________ Check #_________________ Received:_____________ 11