VISION PROGRAMS – TRADITIONAL SCHOOL

CROSSOVER ENROLLMENT FORM

2006-2007

Name of Student: _______________________________

Enrolled in Vision School ___________________________

Name of Vision Program

Traditional School classes are to be taken at __________________________

Name of School

We agree that the options listed below are the best choice for this Learner to access up to three classes within a traditional school. The cost per class is $200 per semester. The total cost for all classes for the semester will be transferred out of the Learner’s account at the beginning of each semester. This agreement is binding. Should the Learner decide to drop the class after the beginning of a semester, the cost for the class will not be refunded. It is the Learner’s responsibility to notify both the Traditional School and the Vision office if a class is dropped.

Grade

Class Title

Instructor

Course & Section Number

Period

Powerschool ID

In signing this agreement, I agree to abide by the rules of the school from which I am taking classes. I agree to be respectful of the teachers, staff and authority at the school. I will arrive on time for my class and complete all assigned work on time.

Learner Signature:_________________________________ Date:___________

Parent Signature:__________________________________ Date:___________

School Counselor Signature:_________________________ Date:___________

Resource Consultant Signature:_______________________ Date:___________