Fall '09 Berrien Springs/Parent Partnership Student Enrollment Form

Please complete a new form for each student.

We strongly encourage you to review the Program Description Sheet at http://docs.google.com/View?id=dcbk7vj2_35cm4xz5x4 before completing this registration form.

Information about Career/Technical Education can be found at http://www.berrienresa.org/cte_majors.html

Plato course descriptions can be found at www.plato.com

Student nomenclature:
E = Elementary
M = Middle School
H = High School

* Required

Student Name * Last, First

Date of birth * MM/DD/YYYY

Gender *

Seated Course: Class in which the student goes to the school. E/M/H: Choose a first course (mandatory) from the selections below and, if desired, a second course (optional) from the Seated Course II listing further down: * Mandatory Seated Course I:

Experiencing Arts and Technology (field trip class/ all grades eligible)
Speech/Debate- monday (all grades eligible)
Speech/Debate- wednesday (all grades eligible)
Generation E (entrepreneur class/ 5th - 12th grades only)
Career/Technical Education (CTE)** (vocational classes/ 9th-12th grades only)

Career/Technical Education (CTE) Majors and Clusters: **H: If CTE was chosen for Seated Course I, indicate areas of interest below. An advisor will contact you regarding specific program openings. If CTE was chosen, no other seated class may be taken, though one (optional) class may be chosen from the virtual or community resource course offerings. Please disregard the instructions given below for those classes, and mark "none" as necessary.

Parent name(s) * Last, First (First)

Address * street, city, zip

Telephone- primary * (xxx) xxx-xxxx

Telephone- cell (xxx) xxx-xxxx

Parent's email address *

Promotional picture authorization * Will you allow the Berrien Springs Parent Partnership program to use photographs that may contain you or your children for promotional purposes?