Papillion-La Vista 2008 Middle Level Summer School Registration Form

(if you cannot print this form, contact your school's guidance office for a copy)

(check one or both classes)

    LANGUAGE ARTS  _______   and/or  MATH  ________

    Student Name:  _________________   Current Grade: 7th or 8th (circle one)

Current School: PJHS or LJHS (circle one)

Parent/Guardian Name:  __________________________

    Address:  __________________ City: _________  Zip: ______

    Home Phone #:  _______________  Work #:  ______________

    Emergency contact #:  _____________ Phone #:  _________ 

     Health Concerns:  ______________________________

   Parent's E-mail Address:    ________________________

                      NOTES:      There are no tuition costs.

                                          Return this registration form to your student's school.         

Don't forget the orientation program:     PJHS – Wednesday, May 14   7 P.M.

Note: Due to heavy maintenance schedules this summer at LJHS, all classes will be conducted at Papillion Junior High School (busing will

be provided to/from LaVista Junior High School).