When: July 12th - August 20

Monday thru Friday

9:00am to 11:00am
Room C322.

Cost: $150.00
Please attach check with this registration form. Checks made payable to Dayton Christian Schools.

Student Name: _______________________ Grade: ______ Parent Name(s): ____________________________

Home Phone: _________________________________ Cell Phone: ____________________________________

E-mail: _____________________________________________________________________________________

Statement of Understanding
Parents...please initial and sign this registration form and return it to the High School Office by July 2, 2010 to complete regis-
tration.

_____ We understand this course does not grant any high school credit toward graduation and will not be re-
flected in a student’s high school transcript.

_____ Transportation is the responsibility of student and family.

_____ All school rules apply to the summer session, including prompt attendance, dress code expectations and the
behavioral code of conduct.

Student Signature: ______________________________ Parent Signature: ______________________________

Office use...

Cash __________ Check # __________