Virtual P-TECH Summer Bridge *July 23 - 31, 2020
Parents please complete the following information to sign your student up for Cyber P-TECH USA Summer Bridge. The camp will be held virtually via Zoom due to the Covid-19 pandemic.
Grade Level *
Student ID *
Student Last Name *
Student First Name *
Student DOB *
Parent Last Name *
Parent First Name *
Parent Phone Number 1 *
Parent Phone Number 2
Parent Email Address *
Student Email Address
Emergency Contact Name *
Emergency Contact Phone Number *
Which extra-curricular programs are you interested in joining? *
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