RCPS Summer School Credit Recovery 
                        June 5 - June 23, 2017
                                  Rockdale County High School           
PRE- REGISTRATION FORM 

Student Name: _______________________________________ Grade in 16-17 _______ School ID#________________ 

Home Address: ___________________________________________________________ Cell Phone ________________ 

Parent/Guardian Name __________________________________________ Relationship _______________________ 

Home Phone: _____________________ Alternate/Cell Phone ______________ Email ___________________________ 

Counselor Complete Section Below 

Counselor Name: __________________________________ Home School: ____ SHS ____ HHS ____RCHS 

Does this student have: ___IEP ___504 

Please check the credit recovery courses needed. Highlight classes that are a priority for scheduling (3 classes max) 

Bolded courses require a Milestone EOC 

English 

___ 9A ___9B ___10A ___10B ___11A ___11B ___12A ___12B 

Math 

___ Analytic Geometry A/B (1 Unit- $200) ___ Analytic Geometry A ___ Analytic Geometry B ___ Analytic Geometry A/B** 

___Coordinate Algebra A/B (1 Unit - $200) ___Coordinate Algebra A ___Coordinate Algebra B ___ Coordinate Algebra A/B** 

___Advanced Algebra A ___ Advanced Algebra B 	  __                

Social Studies 

____W. History A ___W. History B ___US History A ___US History B 

___Economics ___Government (12th) 	___Government A (9th) 	___Government B (9th) 

Science 

___Biology A ___Biology B ___Physical Science A ___Physical Science B ___Chemistry A 

___Chemistry B ___Environmental Science A ___Environmental Science B 

Other 

___Health 

_______________________________________________ 	____________________________________________________ 

Counselor Signature 	Date 	Student Signature 	Date