EmailMeForm
Elementary Summer Bridge 2022
This program is for PBS students going to 1st, 2nd, 3rd and 4th grade.
Classes will take place once a week on Wednesdays from 8 a.m. to 11 a.m.
June 1, 8, 15, 22
July 6, 13
Teachers will work with students on their summer packet work. (Group 1: 1st & 2nd grade students, Group 2: 3rd & 4th grade students) - $350
0%
Entering what grade level
*
Please select
1
2
3
4
Child's Name
*
First
Last
Child's Birthday
*
MM
/
DD
/
YYYY
Parent/Guardian #1
*
First
Last
Parent/Guardian #1 Relationship to Camper
*
Please select
Mother
Father
Grandparent
Legal Guardian
Parent/Guardian #1 Cell
*
###
-
###
-
####
Parent/Guardian #1 Work Phone
###
-
###
-
####
Parent/Guardian #1 Place of Business
*
Parent/Guardian #1 Email
*
Is there a second Parent/Guardian to add?
Yes
No
1
/
4
Total
$0.00
