Hoover City Schools

Secondary ACCESS Distance Learning

Summer School

STUDENT REGISTRATION FORM

*Students interested are encouraged to register as early as possible.

(Please Print)

Student Name ______Grade Completed (2012-13):

Home Address______

StreetCityStateZip

Home Phone______Parent work phone______Parent cell______

Parent Email ______

Parent’s Name______

Parent’s Address (if different from student’s)______

School Attended 2012-2013:___Hoover High School ______Spain Park High School

____ Middle School ______

Each Course runs 1st and 2nd term, UNLESS it is a half credit course. This is not credit recovery.

This is distance learning for first time seen material

EnglishMathematicsScience

____English 9 ____Algebra I ____ Physical Science

____English 10 ____Algebra IA ____ Biology

____English 11 ____Algebra IB _____Chemistry

____English 12 ____Geometry _____ Physics

____Algebra II_____Environmental Science

Electives____Algebra II with Trig-_____Marine Science

____Accounting ____Precalculus_____ Forensic Science

____Creative Writing (½, 1)

____Global Studies Social StudiesForeign Languages-

____Psychology (½)____United States Government (½)_____Spanish I

____Personal Finance (½)____Economics (½)_____Spanish II

____Nutrition and Wellness (½)____World History 9

____Workforce Essentials ____U.S. History 10

____Reading (½)____U.S. History 11

____Business Technology Applications

____Arts Survey (½)

Step #1:Place an X in the appropriate semester/term column next to the course you are requesting to take. You can only take one course per term (a maximum of two semesters per summer).

Step # 2:COMPUTE THE TUITION FOR SUMMER SCHOOL.

Cost is $200 per semester course – $400 for a full credit course (two terms)

# of courses ______x cost (see above) ______

Enter total amount of tuition due$______

Step # 3:Payment in full must be made at the time of registration.

Requests for refunds must be made in writing and received by the principal or bookkeeper no later than May 30thfor ACCESS

Students dismissed from summer school for disciplinary or attendance reasons are not entitled to a refund of any portion of the tuition.

Step # 4:Please reviewthe Summer School Agreement Sheet that includes information and rules concerning attendance, behavior, consequences, arrival to school, etc. Parents and students must be familiar with this information. The rules followed during the normal school year will be in effect for Hoover Summer School.

Step # 5:

  • After registering and paying online, save this form and send as an attachment to
  • If registering on-site this form must be completed and submitted along with tuition. Checks will NOT be accepted at on-site registration. Tuition must be paid by cash, money order or cashiers’ check.

Summer School hours are 8 a.m. – 1 p.m.

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I acknowledge I have reviewed the Summer School Agreement Sheet referenced in Step # 4. I agree to abide by the rules for attendance and behavior. I understand that refunds are not allowed for dismissals that result from violations of these rules.

______

Parent’s Signature (electronic accepted)Date

______

Student’s Signature (electronic accepted)Date