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Bridges Cooperative Application
This application is required for all co-op memberships: Weekly and Extra Curricular.
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* Indicates required question
Email
*
Your email
Parent #1 name
*
Your answer
Parent #1 phone number
*
Your answer
Parent #1 birthdate (optional)
MM
/
DD
/
YYYY
Parent #1 (you may add pronouns to the other line if desired)
male
Female
non-binary
prefer not to say
Other:
Parent #2 name
Your answer
Parent #2 phone number
Your answer
Parent #2 birthdate (optional)
MM
/
DD
/
YYYY
Parent #2 (you may add preferred pronouns to the other line if desired)
male
Female
non-binary
prefer not to say
Other:
Number of children participating in Bridges
*
Your answer
Home Address
*
Your answer
What is your preferred method of communication?
*
Phone
E-mail
Text
Required
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