Virtual Course Registration

Please read and fill in, legibly, all the applicable spaces. INCOMPLETE FORMS WILL BE RETURNED First Name:

Last Name:

Address:

I M P O R T A N T:

Y of Grad:

Town:

1) 2)

3)

4)

e-mail address

Zip:

Phone No.

From the Catalog select courses for ONE or BOTH SEMESTER(S) Review the following: a. Course descriptions b. Prerequisites c. Sessions: most courses are offered both semesters; some are offered the entire year. Check with guidance regarding a. The appropriateness of your choice(s), and b. The availability of time in your schedule List, in order of interest, three 3 courses.

There is no guarantee that the courses applied for will be available.

The Virtual Site Coordinator will register on-line as soon as the applications are received and applicants selected. All programs, services, courses of study and co-curricular activities are offered without regard to race, color, national origin, religion, sex, sexual orientation or handicap in compliance with federal and state law.

Choices 1st

2nd

3rd

1st SEM. (FALL)

Level

2nd SEM. (SPRING)

Level

(Circle) H AP CP1

(Circle) H AP CP1

(Circle) H AP CP1

(Circle) H AP CP1

(Circle) H AP CP1

(Circle) H AP CP1

Student Signature: ___________________________________________________________________

Date: ____________________

I give my child permission to participate in Virtual High School at Burlington High School.

Parent Signature: ____________________________________________________________________

Date: ____________________

FOR MORE INFORMATION AND COURSE LISTING contact Mr. Attubato at [email protected]