William Henry Spencer High School Summer Bridge Application
Dates of Program: June 24-27, 2019
Student's Name *
Your answer
Current Middle School *
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Student's E-mail
Your answer
Parent's Full Name *
Your answer
Home Number *
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Parent Cell Number *
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Parent's E-mail
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Home Address *
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Will the student need transportation? *
Health Concerns/Medications
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This is to certify that I, (Parent Name) allow my child to attend the Summer Bridge Program at William Henry Spencer High School. Please enter parent name below. *
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