COMMUNITY SCHOOL HEALTH & P.E. SUMMER SCHOOL ADVISEMENT, REGISTRATION, ENTRANCE,WITHDRAWAL AND BEHAVIORAL CONTRACT

I understand that the following conditions will be effective for my Health & P.E. Summer School class:

1. I understand that no morethantwodays absence from each class is allowed. Three tardies are equal to one absence. Anything up to 30 minutes late or checking out early will be considered as a tardy; more than 30 minutes will be counted as an absence. I understand that I will be withdrawn upon the third absence. There is an appeal process for absences beyond 2 days. / 6. I understand the following refund policy: (A) Full refund for withdrawal a week or longer before class begins; (B) Nonrefundable fee of $25 assessed for withdrawal less than a week before class begins;
(C) No refunds after class begins.
2. I understand that withdrawal from class will occur for non-attendance or disciplinary action. It is my responsibility to notify my parents/guardian if I am absent or withdrawn from class. / 7. If I receive special services at my home school, I understand that it is my responsibility to provide a copy of my IEP or 504 plans to Brookwood Community School.
3. I must provide my own transportation to and from all classes. / 8. I agree to pay for any lost textbook. No lunches are provided.
4. I certify that I have received a copy of the Gwinnett County student handbook. I accept the responsibility for reading the requirements and I understand the consequences for violation of these policies. I expect the procedures that are listed therein to be enforced by the teachers and administrators. I agree to abide by the rules and regulations outlined. / 9. I will pay the required $250 per course before being officially registered.* Checks are made payable to Brookwood Community School.
*Out of county fee is $275 per course. Refund upon GCPS enrollment with assigned GCPS student number.
5. It is my responsibility to register for the correct class and to make sure that I have met any prerequisites. / 10. Credit will be given only for students fulfilling academic and attendance requirements.Minimum of 60 instructional hours per class required.Rising 9th Graders Only!*
INITIAL ______Date ______

Form#1/11/18

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HEALTH & P.E. SUMMER SCHOOL REGISTRATION FORM Brookwood Community School

Student Full Name ______Student #______

Address ______City______Zip Code______

Parent E-mail Address ______Date of Birth______Home Phone #______Parent Cell #______

Father/Guardian Name (print) ______Work #______

Mother/Guardian Name (print) ______Work #______

In case of emergency call______Phone #______

*Rising 9th Graders only (*selectedrising 10th-11th Graders may be admitted)

*Name of your GCPS Middle School ______

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I/we agree to the above entrance, withdrawal, and behavioral contract. (Parents & Students must sign)

Student Signature______Date______

Parent/Legal Guardian Signature______Date______

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COURSE NAME

Lifetime Fitness (PE) ______Comments:

Introduction to Health ______

______

*Checks should be made payable to “Brookwood Community School”

Cash —Receipt #______Check#______CC#______exp. date______

Office Notes: