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REGENTS ASSISTANCE PROGRAM APPLICATION: May 2nd, 2022 – June 11th, 2022

*Please note, required fields are in red.

Please return this page to the high school main office no later than Thursday, April 14th, 2022.

Saturday Schedule

Period 1: 8:15 – 9:25A.M. (Pick 1)

Period 2: 9:30 – 10:40A.M. (Pick 1)

Weekday Schedule: 3:00 – 4:10 P.M.

(Pick one course per day where necessary)

MONDAY




TUESDAY




WEDNESDAY





THURSDAY


FRIDAY

My son/daughter has permission to register for the above class/classes as part of the Regents Assistance Program.
Student Signature
Grade
Parent Signature
Contact Number (please include area code)