Paint Branch High School Summer Programs 2016‐ Registration Form **Fill out the form below, then go to the link provided and sign up electronically for the class(es) needed. Which program are you registering for? Dates Freshman 101 (circle one): July 11 – July 14 July 18 – July 21 AP Skills Enrichment July 11‐ July 14 PBSS 2.0 – classes for credit (session A) June 27 – July 14, F to F is 9‐1pm PBSS 2.0 – classes for credit (session B) July 11 – July 28, F to F is 12:30‐4:30 Wk 1 9‐1pm Wk 2&3 PRINT NEATLY! Student School Email (required, and must check daily): _____________________________ @mcpsmd.net Parent Email (required, and must check weekly): Address: Street City State Zip Does the student have one of the following: IEP 504 Plan Registration opens March 16th for session A & B classes, and closes when each class fills. Submit forms,
form of payment, and waiver documentation to Ms. Crump in room 2221
PART III: PAYMENT—Attach check or money order for the REQUIRED TUITION amount. • Student may qualify for reduced tuition. Please attach one of the forms of proof to qualify for the waiver. Method of Payment – please make one check/money order per class, put student’s full name and class in memo Cash $ Amount $ Check # Money Order # Amount $ Make payable to Paint Branch High School Amount $ Make payable to Paint Branch High School Registration is not complete until payment is made. PART IV: Parent’s/Guardian’s Signature: _________________________ 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 PBSS 2.0.  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 9am to 1pm 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.