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Defender 101 Registration
10 Day Summer Bridge Program held at BSHS during July 10th - July 21st at 8:30 am -12:30 pm
Email address
Guardian First Name
Your answer
Guardian Last Name
Your answer
Student First Name
Your answer
Student Last Name
Your answer
Address
Your answer
Phone Number
Your answer
What middle school do you currently attend?
Do you have an IEP or 504?
An IEP is an Individualized Education Plan which is a document that outlines any special needs for a student. If you don't know what this and have not gone to any special meetings with any counselors and your child then mark no.
Are you an ELL (English Language Learner) student?
Do you have any food allergies?
If you answered yes to the previous question about food allergies describe them here.
Your answer
If you have any special medical conditions please list them here.
Your answer
What is your t-shirt size
Will you need transportation?
Please complete the captcha before submitting the form.
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