Summer Registration

Please complete the registration form in its entirety. For class descriptions and schedule information, refer to our summer website: www.bridgestoabrighterfuture.org/summer2022

If you have any questions, feel free to reach out before submitting this form.

1Name and Info > 2Background Info > 3Summer Programming > 4Agreement
Name Name First Last
Select your class.
Email

Confirm Email Address

Please provide us with the email address you use most often, preferably NOT a school email.
Student Cell Student Cell - ### - ### ####
Parent Phone Parent Phone - ### - ### ####
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Please update your address if it has changed recently and you have not notified staff.
T-shirt Size

T-shirt Size Small Medium Large Extra Large XXL XXXL Other Other
Save my progress and resume later
Enter Your Email Address *

A special link to resume the form will be sent to your email address.