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Spanish Camp Sign Up
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Billing Name/Parent 1 *
Cell Number *
Address *
City *
State *
Zip *
Email *
Bridgemaker School communicates frequently by email and text, so  be sure to have your email set to accept emails from profemegan@bridgemakerschool.org.
Please provide Parent 2 information:
Parent 2 Name *
Cell Number *
Employer *
Email *
EMERGENCY CONTACT
ICE #1 Name: *
ICE #1 Number: *
ICE #2 Name: *
ICE #2 Number: *
STUDENT INFORMATION
Name: *
Birthdate: *
MM
/
DD
/
YYYY
Address *
City *
State *
Zip *
School *
Age *
Grade for 2022-2023 *
Student's CELL phone
Student's EMAIL
Student's EMAIL
Medical info (allergies, etc) *
Doctor's Name *
Phone Number *
Preferred Hospital *
SPANISH CAMP GROUP
Which Spanish Camp will your child be attending? *
Required
What is your preferred Payment Method? *
Liability Waiver & Consent
Please sign below acknowledging that Bridgemaker School or Language and Grace City Church are not liable for any injury sustained during camp. Please sign below giving your consent for your child to attend Spanish Camp under the supervision of Bridgemaker School staff and teachers. Thank you!
Please your name below acknowledging the above Liability and Consent Notice: *
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