Summer 2.0 Registration Form

RICHARD MONTGOMERY HIGH SCHOOL
250 Richard Montgomery Drive
Rockville, Maryland 20852
Phone: (301) 610-8000 Fax: (301) 279-8428
Damon Monteleone, Principal
Summer 2.0 Registration
SESSION 1: Tu. & Th. June 28 – July 14
SESSION 2: Tu. & Th. July 19 – August 4
Algebra 1A – 0.5 credit
Algebra 1B– 0.5 credit
Career Readiness A– 0.5 credit
Career Readiness B– 0.5 credit
Geometry A– 0.5 credit
Foundations of Leadership – 0.5 elective credit
Honors Geometry A– 0.5 credit
Geometry B– 0.5 credit
Honors Health– 0.5 credit
Honors Geometry B– 0.5 credit
SESSION 1: Tu. & Th. July 5 – July 21
Tech Innovation A– 0.5 elective credit
Honors Health – 0.5 credit
SESSION 2: Tu., Wed. & Th. July 19 – August 4
Philosophy in Film– 0.5 elective credit
Indicate whether the student has the following (CHECK if applicable):
IEP
504 Plan
PART II: STUDENT INFORMATION
Student School Email (required, and must check daily): _____________________________ @mcpsmd.net
Parent Email (required, and must check weekly):
Home Address:
Street
City
State
Zip
RICHARD MONTGOMERY HIGH SCHOOL
250 Richard Montgomery Drive
Rockville, Maryland 20852
Phone: (301) 610-8000 Fax: (301) 279-8428
Damon Monteleone, Principal
Registration opens May 2nd and closes when classes fill. Submit forms, full payment
and waiver documentation (if applicable) to Mrs. O’Brien in room 300.
PART III: PAYMENT – Attach check(s) or money order(s) for tuition. Put student’s full
name, ID# and the course name in the MEMO. A student may qualify for reduced tuition. Please
attach one of the forms of proof to qualify for the waiver.
Cash
Amount $
Amount $
Check (#______________)
Amount $
Amount $
Money Order
Amount $
Amount $
Make check(s) or money
order(s) payable to
Richard Montgomery
High School
Registration is not complete without payment.
Parents/Guardian’s signature certifies that:
 Student has met all immunization requirements;
 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 to make payment will result in
dropped registration;
 The parent/guardian will provide the summer school site administrator with a copy of the
accommodations included on the student’s IEP/504 plan;
 Attendance is a requirement for continued enrollment in any of the courses;
 Students must have access to the internet, be committed to doing 3-5 hours of online class work
on non-class days, and 2+ hours of homework after each class session;
 Face to Face class sessions meet from 9: 30 am to 12:30 pm and are mandatory;
 Parents MUST have a working email address that they will check on a regular basis. All written
communication will occur electronically via email. If a parent does not have an email address,
they must create one;
 Students and parents must sign the attached contract indicating their agreement and
understanding of these requirements.
PART IV: Parent’s/Guardian’s Signature:
_________________________