2019-2020 Summer Bridge Registration
Email address *
Student Name *
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Address *
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Phone Number: *
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Does student have any special accommodations? *
If yes, explain.
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I give my student permission to participate in the 2018 Summer Bridge Program at Clarkston High School. The dates of the program are June 4th- June 6th, 2019 from 8:00am-2:00pm. By digitally signing this form, I acknowledge I am giving my student permission to participate in all Summer Bridge activities during the times and dates mentioned above. *
Signature *
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