Summer School 2017 Registration Form

Dixon Middle School

750 West 200 North * 801-374-4980 * dixon.provo.edu

June 5th – June 22ndMonday –Thursday only

$20 registration fee per class or $40 for STEM block class.

Student Name______Student ID ______

Parent/Guardian Name ______

Parent/Guardian Phone ______Email ______

Address ______

Grade you will be in NEXT YEAR (please circle) 7 8 9

Transportation – please check how you will get to and from school each day.

Bus – bus information on back page

Ride

Walk

Please circle the classes you want to register for.

Period 1
8:30 – 10:00 / Period 2
10:10 – 11:40 / Block Classes
8:30 – 11:40
English 7 / English 7 / STEM (Hill/Lockwood)
Credits: 1 Science, 1 Math
$40
English 8 / English 8
Math 8 / Math 8
Science 7 / Math 7
ESL English / Science 8
Ballroom

* All class offerings are subject to change.

Iagree to follow the rules outlined on the back page. Failure to follow the Dixon school rules will result in dismissal from summer school with no credit or refunds given. I understand that attendance is mandatory to receive summer school credit.

Student Signature ______Date ______

Parent Signature ______

Office Use Only: Amt pd ______Cash _____ Check # ______Received by ______Date ______

Dixon Summer School Rules and Guidelines

ATTENDANCE IS MANDATORY FOR SUMMER SCHOOL CREDIT – No exceptions.

Students who miss more than two class periods will not earn credit or receive a refund of registration fees. 3 tardies = 1 absence

Bus Information

The bus is only available to students who live in Dixon bus boundaries.

There will be an 8:30 am and 11:30 am bus for students in bus boundaries. Students who ride both the 8:30 and the 11:30 bus must be registered for classes during all 3 periods. Students who ride the bus may also choose to ride the bus one way and take less than 3 classes, however they must find alternate forms of transportation for the other way.

Bus routes and schedules can be found on Provo.edu towards the end of May.

Summer Dress Code

Shorts must reach mid-thigh while sitting down. Shirts must be long enough to cover the entire midriff and must not be low cut. Undergarments may not show. No tank tops, swimsuits, or hats allowed.

Behavior

Students are expected to follow and respect the rules.

-Be in class on time and ready to work when the bell rings

-Be prepared with pencils, papers, assignments, etc.

-Be respectful to others

-No swearing, rude gestures, or mean comments

-Listen to teachers and follow their directions

Campus

After school has ended for the day, students must walk home, have a ride from their parent/guardian, or ride the bust home. No loitering. Students getting rides are expected to be off school grounds no later than 12:00pm.

In order to help our custodial staff, the upstairs will be closed. Classes will be held downstairs only. Students are not allowed upstairs (including upstairs bathrooms).

Class Schedule

Classes may be added or dropped as needed depending on student registration numbers. If changes are made that interfere with your schedule, please let us know so we can try to work around it.

No meals or snacks will be served