Madison 2022 Summer Bridges Registration Form
James Madison High School is excited to offer our Madison Bridges Program to rising 9th grade students again this upcoming summer.  This program is designed by Madison High School staff members to provide students with the essential background knowledge and skills that will help them have a successful transition to high school.  It is designed for all students regardless of educational background.

If you prefer to pay by mail/check, mail registration to:
James Madison High School
Attn: Bridges Program
2500 James Madison Dr.
Vienna, VA 22181

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Email *
Please indicate which session your child will attend:   *
Required
Student's Last Name *
Student's First Name *
Preferred Name
Mailing Address *
Parent/Guardian Name *
Parent/Guardian Email Address *
Please circle your students adult t-shirt size: *
Required
Emergency Contact (Name) *
Emergency Contact (Phone Number) *
Is there anything we need to know about your student to best support them during this program?  ***If your child has any special dietary concerns or medical conditions, please list below.***
A copy of your responses will be emailed to the address you provided.
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