Hartville R-II
Summer School Enrollment Form
May 26-June 19, 2026
Tuesday-Friday each week
Student:
First Name
Middle Initial
Last Name
Grade Entering Fall 2026:
Please Select
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
11
12
Date of Birth:
-
Month
-
Day
Year
Date
Sex:
M
F
High School Only: Course Selection
Please Select
Credit Recovery
English IV (online June 1 - June 30)
Technology (online June 1 - June 30)
Personal Finance/Health (online June 1 - June 30)
PE
Dual Credit
Theatre (1 week, 1/4 Fine Art Credit)
Leadership - (2 weeks, 1/2 Practical Art Credit)
Parent/Guardian Name:
Physical Address:
Mailing Address:
City:
State:
Zip:
Home Phone:
Format: (000) 000-0000.
Cell Phone:
Format: (000) 000-0000.
E-mail Address:
example@example.com
Emergency Contact:
Format: (000) 000-0000.
Bus Route Information
Will the student be riding a bus during summer school?
Yes
No
Name of driver during regular school year:
Bus Number:
Parent/Guardian Signature
**New students' parent/guardian must complete the regular school enrollment
form in addition to the Summer School Enrollment.
**Please return this form to the office no later than May 1st.
Office use only: Entrance Date:
Exit Date:
Assigned Summer Driver:
Bus Number:
Preview PDF
Submit
Should be Empty: