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Berea Middle Summer Bridge Program Registration Form (Inscripción para Escuela de Verano en Berea Middle)
Virtual and In Person (Virtual y en Persona)
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* Indicates required question
Email
*
Your email
Parent Email Address (correo electrónico del padre o la madre)
*
Your answer
Student Last Name (apellido del estudiante)
*
Your answer
Student First Name (primer nombre del estudiante)
*
Your answer
Grade Level of the Student (grado escolar)
*
6th Grade
7th Grade
8th Grade
Student Current Enrollment Type (tipo de estudiante)
*
Virtual
Brick and Mortar (asiste a la escuela)
Will the Student Need Transportation? (¿necesitará transporte el estudiante?)
*
YES
NO
Street Address (dirección)
*
Your answer
Telephone Number (número de teléfono)
*
Your answer
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