Greater Lowell Technical High School
Summer School - Registration Form
(Summer 2024)

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Directions: Please fill out the form below, click "Continue" to review information you entered, and then click "Submit" to submit your Summer School registration information to the school. A registration is not complete until you have hit "Submit" on the second screen and received a registration number.

Student and Parent Information

Student Name
      Student ID
      Grade Level (9,10,11,12)
Parent/Guardian Name
      Guidance Counselor
Address
      City, State, Zip
Home Phone
      Parent Cell Phone
      Parent Email

Is this student eligible for free/reduced lunch?     Yes     No

Emergency Contact Information

Name
      Relationship
      Phone

Fill in below if English Language Arts (ELA) is needed

ELA Course Name
      ELA Course Grade Level (9,10,11 or 12)

Fill in below if Math is needed

Math Course Name
      Math Course Grade Level (9,10,11 or 12)

Fill in below if Science is needed

Science Course Name
      Science Course Grade Level (9,10,11 or 12)

Fill in below if Career Preparation and Planning is needed

Technical, Related, or Other Course Failed
      Course Grade Level (9,10,11 or 12)
  attending summer session to receive course credit
-OR-
  attending summer session to receive course credit and meet attendance requirement

Transportation

  Student LRTA Bus Pass requested
-OR-
  Student will provide own transportation