Take JCHS SUMMER SCHOOL FORMS AND PAYMENT(S) TO CAMPBELL HIGH SCHOOL ADMINISTRATION OFFICE –Saber Hall(91-980 NORTH ROAD)

DELIVER ALL ALU LIKE APPLICATIONS DIRECTLY TO ALU LIKE BEFORE THEIR DEADLINE

CLASSES ARE FIRST COME, FIRST SERVE. CLASSES MAYCLOSE BEFORE DEADLINE.

JAMES CAMPBELL HIGH SUMMER SCHOOL 2015

James Campbell High School, 91-980 North Road, Ewa Beach, HI96706

REGISTRATION/PAYMENT FORM

Check/initial:

We have read and understand the policy for refunds.

Student’s Name______

PRINT: LAST NAME, FIRST NAME

Mailing Address______Home Phone______

Street, City, Zip code

PARENT(S) Email address: ______PARENT(S) Cell phone: ______

School presently attending: ______Current Grade Level before entering Summer School______

Father/Guardian’s name: ______Business Phone ______

Mother/Guardian’s name: ______Business Phone ______

******************** COURSES ENROLLING FOR SUMMER********************

1st Semester/Year Course/ACCN#:______2nd Semester Course/ACCN#: ______

Circle 1: Marching Band AVID Grad Point: Counselor’s Signature______

COST: 1 semester = ½ credit: $95.00 2 semesters =1 credit: $190.00

Tuition is payable in full by Cash / Cashier’s Check / Money Order upon completion of all JCHS Summer School forms to James Campbell High School, 91-980 North Road, Ewa Beach, HI 96706. JCHS SUMMER SCHOOL FORMS ARE DUE WITH PAYMENT by May 1, 2015. ALL CLASSES are first come, first served. ALL CLASSES are subject to closure/cancellation depending on enrollment counts. You will be notified if a class is open or closed or cancelled. A student will not be registered if all forms: (1) Registration Form, (2) Payment Form with Payment, and (3) Emergency and Attendance Form are incomplete. All classes are eligible for regular high school credit, unless prior credit was earned. No refunds will be given after June 10, 2015 for Year Course or 1st semester course. No refunds will be given after June 29, 2015 for second semester course.

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OFFICE USE ONLY

AMOUNT OF PAYMENT: ____ (1 semester $95.00) ____ (2 semesters /1 year course $190.00)
RECEIPT NUMBER______VERIFICATION:______
PAYMENT TYPE______Date received: ______

No School :June 11 (Kamehameha Day) & July 3 (Independence Day)

Summer School 2015-Payment Form