2022 MZHS SUMMER BRIDGE REGISTRATION FORM

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Complete this form for participation in the 2022 Mt. Zion High School Summer Bridge Program. We are looking to provide bus transportation as well; therefore, be sure to provide your address below. We look forward to meeting you this summer!

Email *

Last Name of Student *

First Name of Student *

Student ID number *

Student Clayton County Email Address *

Student Home Address (Be sure to include complete address with City and Zip Code) *

List your hobbies (things you like to do for fun)

Student's Favorite Subject (You can only select one)

English Language Arts

Math

Science

Social Studies

Clear selection

Primary Parent/Guardian Name (Be sure to include first and last name) *

Primary Parent/Guardian Cell Number *

Primary Parent/Guardian Email Address *

Middle School Attended *

Rex Middle School

Jonesboro Middle School

M. D. Roberts Middle School

Morrow Middle School

Other:

Student T-shirt size *

XXL

Submit

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