2016 Summer Institute Registration Form (update: 3.11.16)

THOMAS S. WOOTTON HIGH SCHOOL
SUMMER INSTITUTE 2016
REGISTRATION GUIDELINES
1. REGISTRATION forms can be obtained from: (1) your student’s Guidance Counselor; (2) an online version at
http://montgomeryschoolsmd.org/schools/woottonhs/ ; or (3) attached to these guidelines. The form must be fully
completed with all signatures before it can be processed. Forms will be returned if not properly completed.
Checks or money orders should be made payable to: WOOTTON HIGH SCHOOL. Be sure to write your
student name and ID number in the memo section of your check. Return to Main Office or mail to Mrs.
Cynthia Cunningham, c/o Wootton High School, 2100 Wootton Parkway, Rockville, MD 20850. Checks
must be preprinted with name and address, or check will be returned. Must be post marked on or before deadline.
TUITION:
Full payment of tuition is required for all students at the time of registration. Costs are
listed with the description of each program. Please visit
http://www.montgomeryschoolsmd.org/departments/forms/pdf/325-4.pdf for Partial or
Full Waiver of Tuition.
THE LAST DAY OF REGISTRATION FOR SUMMER INSTITUTE IS MAY 2, 2016.
2.
ATTENDANCE: More than ONE absence, excused or unexcused, may disqualify a student from receiving credit. The
highly concentrated program offered in the Summer Institute session makes full time attendance necessary. Explanatory notes
from parents will be required for absences and tardiness, and all cases will be subject to verification by the school office.
Absences will be determined as excused or unexcused by the same rules used during the school year. Vacations and sports
clinics are NOT excused absences.
3. CANCELLATION OF COURSES: Classes that do not meet enrollment requirements will be cancelled. The summer
institute office and Wootton High School administrators will make decisions regarding the cancellation of individual courses.
Students will be notified if their class is cancelled and given the opportunity to switch to another session of that same class or
receive a refund, so long as registration is still open. Please be aware that some cancellations could take place a couple of
weeks before the start of the program. Make sure to check your email frequently for any updates/cancellations. Email is the
only method used to notify you of cancellations and missing registration information.
4.
REFUND POLICY: Full refund if WHS cancels a class for any reason. Full refund if you cancel registration prior to June
1. 50% refund if you cancel registration between June 1 and June 15. No refund if you cancel registration on or after June
16th. No exceptions. This applies to all applications, no matter when received for enrollment process or when the class is
being offered. One day of attendance makes a student ineligible for a refund. Enrolling after summer institute has begun and
then cancelling attendance will result in no refund.
5. ENROLLEES: Only incoming freshman and current enrolled students of Thomas S. Wootton High School may attend
Summer Institute. WHS SUMMER INSTITUTE IS NOT THE SAME AS REGIONAL SUMMER SCHOOL. Transportation is
not provided by MCPS or Wootton High School. For information on Ride On’s Summer Youth Pass ($18 to ride all summer) and
Youth Cruiser SmarTrip® card ($2) visit http://www.montgomerycountymd.gov/dot-transit/kidsridefree/index.html or call 311.
6.
FINAL EXAMS: Will be given in accordance with Board of Education policy.
7.
COURSE CREDIT: Counselors will be notified when a student successfully completes a course and student’s schedule
changes will be made prior to the next school year.
8.
MEDICAL CONCERNS: Please make us aware of any medical concerns by attaching a letter. A School Community
Health Nurse is not on staff during the Wootton Summer Institute Program.
9.
RECEIPT: Your cancelled check will be the only receipt you receive. Written enrollment confirmations may be mailed
home.
KEEP THIS PAGE FOR REFERENCE!
THOMAS S. WOOTTON HIGH SCHOOL
SUMMER INSTITUTE 2016
____________ __________________
MCPS ID #
Address
Student’s Last Name
__________________ ___ _________
First Name
MI
DOB
City
_____
AGE
State
___________
2016-17 Grade
Zip
Name of Parent/Guardian: __________________________________________________________________________
Phone Number: (Home) _________________ (Work) _________________ (Cell) _____________________________
Parent email address: ______________________________________________________________________________
Other Parent/Guardian (Work) ________________ (Cell) __________________
If a parent/guardian can’t be
reached, an adult (NOT parent) to be contacted in case of emergency: Relationship to student_________________
Name_____________________________ (Daytime Phone) __________________ (Cell) ________________________
REGISTRATION: Students may only register for ONE course PER FORM. Please provide separate checks
or money orders if enrolling in both a credited and non-credited course.
Students who enroll in Honors Geometry A/B must have their Middle School Math teacher’s signature below as a
recommendation. Student must also have a B or higher in their 1st semester Algebra 1 class.
Frost MS
Cabin John MS
Other MS
(Check the One that Applies)
_______________________________________ Middle School Math Teacher Signature
COURSE REQUESTED: Course Name______________________________________________________________
Class Accommodations, if any
Course Code# _____________ Tuition: $________________ Check #_______________ IEP
504
None
Payment of Tuition – attach check or money order only for the FULL TUITION payable to: Wootton High School. Checks
must have preprinted name and address or it will be returned. Return completed form(s) with payment to WHS Main
Office or mail to: Mrs. Cynthia Cunningham c/o Thomas S. Wootton High School, Summer Institute Enrollment, 2100
Wootton Parkway, Rockville, MD 20850. Phone: 301-517-4750. Do not send form via e-mail. All payments MUST be
postmarked or received by registration deadline (bottom of page). Visit
http://www.montgomeryschoolsmd.org/departments/forms/pdf/325-4.pdf for Partial or Full Waiver of Tuition.
PARENT’S/GUARDIAN’S AND STUDENT’S SIGNATURE CERTIFIES THAT:
 The parent/guardian has read and fully understands all guidelines attached to this registration form.
 The student has met all immunization requirements; and student is aware that they are enrolled in a class at WHS.
 The parent/guardian will inform the Summer Institute administrator of any special accommodations required for the
student, and any custody concerns.
 The method of payment is assured and it is understood that a $25.00 fee will be assessed for returned checks. In
addition, it is understood that failure by the parent or the student to make payment may result in no credit being
awarded for the course.
 The parent/guardian will provide transportation to WHS. MCPS/WHS does not provide school bus service during
summer. Refer to registration guidelines on previous page for Ride-on youth summer pass information.
STUDENT SIGNATURE____________________________________________________DATE: _______________
PARENT SIGNATURE _____________________________________________________DATE: _______________
THE DEADLINE FOR SUMMER INSTITUTE REGISTRATION IS MAY 2, 2016