Virtual Summer School Registration Form
Grades 9-12
DIRECTIONS:
1.  Carefully read the Virtual Summer School Brochure
2.  Please fill out all required fields below
3.  Bring all 504 modification paperwork
4.  Bring a copy of your report card and principal's letter if you are a non-LPSS student

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Summer School Fees *
LPSS Students/Non-LPSS Students(Please choose one)
Student's Full Name *
Example: Donald James Thomas, Lisa Ann Brewer
Student's Date of Birth *
MM
/
DD
/
YYYY
Student's School ID Number
Student's Grade *
Student's School *
For Example: Acadiana High School, Carencro High School
Student's Parent/Guardian *
Parish *
Please select the Parish that your child's school is located in
Required
Special Education or 504 Modifications *
Were Special Education and/or 504 Modifications provided during the regular school session?  Please select "Yes" or "No".
NCAA Eligibility Requirements *
Will this course be used to satisfy initial NCAA eligibility requirements?  Please type "Yes" or "No".
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