2024 Pathway to College Registration

Parent's Name*

First NameLast Name
Student's Name*

First NameLast Name
Parent's Email*
example@example.com
Parent's Phone Number*
Please enter a valid phone number.
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What school does your student attend?*
Student's Grade*
PARENT Primary Language
STUDENT Primary Language
Please list any accommodations that need to be made for your student
Please choose which session you wish to attend.*

October 26th - 9AM-3PMNovember 16th - 9AM-3PM
I understand that I, the parent or guardian of this student, must be at the Bridge building from 12:30PM to 3PM on the session day to join my student for college prep activities.

I will be thereI cannot be there

Tell us about your student. What are their post-high school goals? What specific aspect of college prep do they need assistance with?*
Does your student have a working laptop they can bring to the session?*

YesNo
Does your student have a calculator (not on their phone or computer) they can bring to the session?*

YesNo
Please list any allergies or food preferences:
Do you give us permission to take photos of your student for the sake of our website and social media?*
Would you like your email to be added to our monthly newsletter?*
Is there anything else we need to know about your student for this program?
I, the parent/guardian of the student listed above, attest that the information listed above is accurate. I understand my responsibility in this program is to have my student arrive on time, prepared, to each session. *

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Questions? Contact us at bridge.leadership2k@gmail.com
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