Summer Bridge Program Summer 2019
NOTE: Only the first 100 registrants would participate in this program
Email address *
Are you currently in the 8th grade? *
Student's Last Name *
Your answer
Student's First Name *
Your answer
Student's Middle Initial (if any)
Your answer
School Currently Attending *
Your answer
Parent/Guardian Name (Last, First) *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Parent Cell Phone Number: *
Your answer
I understand that this program begins on 6/3 and ends on 6/28. This bridge program condenses 18 weeks of material into 4 weeks. All students must be in attendance each day. *
Parent Email: *
Your answer
Emergency Contact (Name & Cellular Number) *
Your answer
Allergies, if any *
Your answer
Do you (student) need a complimentary MARTA pass?: *
Please click on " Submit" below
A copy of your responses will be emailed to the address you provided.
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