BSHS Summer School Application

Summer School Application

Berkeley Springs High School
Dates: June 3 - July 17, 2026

Time: 8:00 am to 12:00 pm (Monday-Wednesday, in person & Thursday-Friday, virtual)

Cost: Cash or check payable to Morgan County Schools
- Credit Recovery - $30.00 per course/maxium two courses
- WVVS - $30.00 plus the cost of the WVVS course
Report to BSHS Media Center at 8:00 am on Wednesday, June 3 for orientation.

Summer credit recovery is recommended for students who have failed one or more core courses for the school year.

If you have any questions please contact:
Mitch Nida at 304-258-2871 x103 or mnida@k12.wv.us
Child's Name

First NameLast Name
WVEIS ID Number
Sex
Race
Birthdate

MonthDayYear
Date
Age
Current Grade Level
For which courses are you requesting (up to two)?
Custodial Parent/Guardian

First NameLast Name
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Day Phone
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Second Parent/Guardian

First NameLast Name
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Day Phone
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Persons to contact in case of emergency if parent/guardian can't be reached:
Name

First NameLast Name
Phone
Please enter a valid phone number.Format: (000) 000-0000.
Name

First NameLast Name
Phone
Please enter a valid phone number.Format: (000) 000-0000.
Who can pick up your child from BSHS Summer School other than the parent/guardian listed on this registration form?

*The person will be asked to show a form of ID when picking up your child.
Name

First NameLast Name
Relationship to Student
Phone
Please enter a valid phone number.Format: (000) 000-0000.
Name

First NameLast Name
Relationship to Student
Phone
Please enter a valid phone number.Format: (000) 000-0000.
During BSHS Summer School, photographs or videos may be made of children in the program which could be used in the newspaper, on our website, or in publicity about the program. Your signature gives permission to use photographs or videos of your child. Your answer does not affect your child’s participation in BSHS Summer School. Check the ones we may use:
I understand that violation of school rules could result in dismissal from the summer program.
Parent/Guardian Signature
Should be Empty:

Summer School Application

Persons to contact in case of emergency if parent/guardian can't be reached:

Who can pick up your child from BSHS Summer School other than the parent/guardian listed on this registration form?