2024 Summer Bridge Extended Learning Program
Please fill out a separate form for EACH child attending the Summer Academy Program.
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Email *
Student Name (First & Last) *
Student's Date of Birth *
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Parent Name (First and Last) *
Parent Email *
Parent Phone Number *
Emergency Contact (First & Last Name) *
Emergency Contact Phone Number *
Entering Grade Level (August 2024) *
How many children in your household will be attending the Summer Bridge Extended Learning Academy? *

Please check the boxes below to indicate the days and weeks your child will be in attendance. Please refer to the fee schedule below to determine the total advance payments to be submitted on PayPal. Each session is $50 for 2 hours of ELA or Mathematics instruction.

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June 17th - June 21st
June 24th - June 28th
July 1st - July 5th (Independence Day Observed 4th & 5th - No Sessions)
July 8th - 12th
July 15th - July 19th
July 22 - July 26th
July 29th - August 2nd
Week 1
Week 2
Week 3 (Mon - Wed Sessions Only)
Week 4
Week 5
Week 6
Week 7

Summer Bridge Extended Learning Academy Fee Schedule:

Dear Parents/Guardians,

Thank you for considering our Summer Bridge Extended Learning Academy to enrich your child's educational experience this summer. To ensure smooth registration and admission, please review the fee schedule and payment guidelines outlined below:

Fee Schedule:

Each session: $50 for 2 hours of ELA or Mathematics instruction.

Morning sessions: Monday-Thursday, 9 AM - 11 AM.
Afternoon sessions: Monday-Thursday, 1 PM - 3 PM.

Payment Guidelines:

Advance payment for each week is required to secure admission for each student. Payment should be submitted in full for the selected number of sessions your child will attend each week. No Friday sessions are available.

How to Submit Payment:

Calculate the total fee based on the number of sessions your child will attend each week. Submit advance payment on PayPal using the provided link. Include the following information in the PayPal transaction description:

Child's name
Selected weeks of attendance
Total number of sessions per week

Example Payment Description: "Payment for John Smith attending Week 1 (4 morning sessions) and Week 2 (4 afternoon sessions) - Total: $400."

Thank you for your cooperation in ensuring a seamless registration process for our Summer Bridge Extended Learning Academy. We look forward to helping your child succeed academically this summer!

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First and Last Name *
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