2013 Summer Registration Form Pre-AP and AP Courses Dulles High School

Grade Level in 2012 - 2013 school year: Home Campus Austin

10

11 Elkins Willowridge Ridge Pt.

2012 - 2013:
PRINT CLEARLY:

Bush Hightower Kempner

Clements Dulles Marshall Travis

Last Name FBISD ID (6 digits) Address Parent/Guardian Name Emergency Contact

First Name

Middle Name

Gender__________________

Date of Birth ___________________ Home # (____)___________________________ City Work #( Ph # ( ) ) Zip Code ______________________________ Cell #( )____________________________

Relationship to Student____________________________

ORIGINAL COURSE OFFERINGS

Pre-AP and AP original credit courses are for students taking a course for the first time. All classes are from 7:30 a.m. to 2:30 p.m. Students who earn a final grade of 70 or above at the end of the session in a course will earn credit for the course. Students may be withdrawn from the course without receiving a grade/credit and without receiving a refund of fees paid if they have excessive absences or exhibit discipline problems as set forth in the FBISD Student Code of Conduct (i.e., disruption of the educational environment). All students are expected to follow the FBISD Student Code of Conduct as well as the dress and grooming policies of FBISD.
Incoming 9th grade: Attended 8th Grade at______________________ Middle School in 12 - 13. Incoming 9th grade may only take: Pre-AP Biology or Pre-AP Geometry (previous credit for Algebra I must have been awarded)

DIRECTIONS: Please the course you are requesting below.

MATH
Geometry Pre AP Pre-Calculus Pre AP

SCIENCE
Biology Pre AP Chemistry Pre AP Physics Pre AP

SOCIAL STUDIES
U.S. Government AP first session U.S. Government AP second session Economics AP first session Economics AP second session Psychology AP first session Psychology AP second session Human Geography AP first session Human Geography AP second session

~~~FOR COUNSELOR USE ONLY~~~ Note: The FBISD Reduced Tuition Fee may not be used for Original Credit Courses Please one below No Date ___/_____/____ (Approval indicates that all prerequisites have been met) (Print) Counselor Name________________________________Signature_____________________________________

~~~FOR CASHIER USE ONLY~~~ FEE: $650.00 Per 1.0 credit course $400.00 Per .5 credit course

Cash, Credit/Debit Card (online payment) or Money Order (payable to FBISD). * NO REDUCED TUITION FEE All fees must be paid in full at the time of registration. Credit/Debit Card No Exceptions. Amount Paid $_________________ Cash Money Order #______________

Refund requests will not be accepted or approved once classes begin. Refunds may take up to four (4) weeks to process. There will be a $25.00 processing fee deducted from all requested/approved refunds, unless due to class closure by administration.

Please keep your copy of this form and the cash receipt as proof of your registration.