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William Henry Spencer High School Summer Bridge Application
Dates of Program: June 24-27, 2019
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Student's Name
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Your answer
Current Middle School
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Your answer
Student's E-mail
Your answer
Parent's Full Name
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Your answer
Home Number
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Your answer
Parent Cell Number
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Your answer
Parent's E-mail
Your answer
Home Address
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Your answer
Will the student need transportation?
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Yes
No
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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