INTERMEDIATE UNIT I - Intermediate Unit 1

Intermediate Unit 1
2012 Summer School Registration Form
Student’s name:
Parent/Guardian:
Address:
Phone number: Social Security #:
District:
Check One: _____ Regular Education
Grade:
______ Special Education
Dates: June 18, 19, 20, 21, 22, 25, 26,27, 28, 29 and July 2, 3, 5,6, 9, 10
Registration : On-Line @IU1.org under “Solutionwhere” or at IU#1 Educational Campus @ Colonial
weekdays beginning 5/17-6/8-1:30 to 3:00 P.M. or 6/9-6/15-8A.M.-3:00 P.M
Please circle course selection(s):
Session I
Session II
7:30-11:30 A.M 11:30-3:30 P.M
English 11/12 -1.0 Credits
Science (Biology) -1.0 Credits
Pre-Algebra/Algebra I -1.0 Credits
Civics/American History 1.0 Credits
Physical Education .50 credits
English 9/10 -1.0 Credits
Science (Physical Science/Earth-
Science) 1.0 Credits
Algebra II/Geometry 1.0 Credits
World History 1.0 Credits
Physical Education – .50 Credits
Parental Signature/Date:__________________________________________________________

Page 2 Summer School Registration continued…
Method of payment:
$200 for a full credit (1.0) class
$100 for a ½ credit class (.50 credits)
Credit Cards accepted on-line
Cash, U.S. Money Orders, and Credit Cards accepted @ the IU#1 Colonial Campus
NO CHECKS ACCEPTED!
Please return this form to: ( if not registering on-line:)
IU 1 Educational Campus @ Colonial
6353 National Pike
Grindstone, PA 15442
724-785-7472
NO MONETARY REFUNDS AFTER CLASSES BEGIN