* Required

Graduating seniors are considered "current" JSerra students.​​​​​​​​
Current JSerra students MUST see their Academic and College Counselors before registering. All fees are non-refundable so double-check with your Academic and College Counselor to ensure that you are registering for the correct course(s)!​​​​​​​​​​
Choose either Session 1 or 2 depending on the semester your student needs to remediate.​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
Type in the name of the course. You must have already received authorization from your College Counselor. All payments are non-refundable.​​​​​

REQUIRED INFORMATION

No medical personnel will be on site during the summer. If your student has special medical needs requiring an aide or medical assistant, you will be required to provide such aide or medical assistant at your own cost in order for your student to be able to participate in the summer program. Please note that if your student suffers from the following conditions, we are unable to assist in their routine medical care:
  • Diabetes - Type 1/Type 2 on insulin
  • Seizures that require rescue medications
  • Severe airborne allergies
  • Any bleeding, cardiac, or seizure disorder
  • Mental health issues
  • Takes prescription medications needing to be administered during Summer School
You may provide your student with their own aide or medical assistant. In the event of a health crisis or medical emergency, 911 will be called.

A Health Aide will be available for treatment of minor first aide and to distribute over-the-counter medications as needed.

Please check the following medications for authorized JSerra school designated personnel to dispense to your student:​

The following will be administered on an as-needed basis unless parent/guardian instructs JSerra Health Services to the contrary in writing:

  • Antiseptic Spray (Benzocaine)
  • Cough drops (Menthol)
  • Eye Wash
  • Hibiclens Skin Cleanser
  • Safetec Sting Relief (2% Lidocaine)
  • Vaseline Lip Balm

AUTHORIZATION

I hereby request that JSerra Catholic High School ("JSerra") permit my son/daughter identified above to participate in the school's Summer School program. I hereby knowingly and voluntarily assume any and all such risks. Moreover, for valuable consideration, the receipt and sufficiency of which are hereby acknowledged, I, individually and on behalf of my minor student, hereby knowingly and voluntarily release, acquit, and discharge JSerra, and each of its officers, directors, employees, agents, volunteers, and representatives, of and from any and all liability, damages, costs, claims, demands and/or causes of action relating to or arising from such participation.

I further authorize JSerra personnel, as agent for the undersigned, to consent on behalf of my son/daughter to any medical treatment (including but not limited to any x-ray, examination, anesthetic, medical or surgical diagnosis or treatment and hospital care) which is deemed advisable by the physician, nurse or other health care practitioner present at or in connection with Summer School program.

By signing your name below, you grant permission for JSerra Catholic High School to reproduce through printed, audio, visual, or electronic means activities in which your student has participated in the Summer School Program. You, as a parent or guardian, of the above named student fully authorize and grant JSerra and its authorized representatives, the right to print, photograph, record, and edit as desired the biographical information, name, image, likeness, and/or voice of the above named student on audio, video, film, slide, or any other electronic and printed formats.

USE OF STUDENT INFORMATION

We, the undersigned, hereby authorize JSerra to use our student's name, photograph, and other information in school publications and on the school website.

Please type your full name.​​​