2025 Tutoring Workshops Registration

Academic Information
Which subjects does your student need help with? Choose all that apply.*

MathEnglish/Comm ArtsScienceHistory/Social StudiesComputer ScienceForeign LanguageArtOther
Does your student have reliable internet access at home?*
Does your student work on homework at home? Take-home assignments, iReady, EdPuzzle, etc.*
How often do you check your student's grades?*

Health and Safety Information
Please list any allergies or food preferences for your student.*
Please list any accommodations or special needs your student may need in order to participate. *
Please list any known health conditions that your student has. This will ensure that we are prepared for any and all emergencies related to your student. *
For example: asthma, epilepsy, diabetes, etc.
Is there anything else we need to know about your student regarding their medical or safety needs? *
Emergency Contact*

First NameLast Name
Emergency Contact Number*
Please enter a valid phone number.
I understand that in the case of a medical or safety emergency, the Bridge Leadership Academy policy is to call 911 and the emergency contact provided for the student.*

I understand

Final Questions
Is your family interested in social/emotional support?*
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?

Information about Tutoring

Every Tuesday and Thursday from 4 to 6pm we hold space for tutoring and Esports. If your student is in need of one-on-one tutoring, please fill out the form in detail so we can best assist them. Our website will list all the meeting times and when we won't be holding session (for Holidays, weather or District PD days).

Our address is 10521 Blue Ridge Blvd. Kansas City, MO 64134

Please drop off your student no later than 4:15pm.

Please pick up your student no later than 6pm.
I understand and agree to the details listed above. *
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 tutoring session. *

Powered by Jotform SignClear
Questions? Contact us at bridge.leadership2k@gmail.com
Should be Empty:

Welcome to BLA's Tutoring Program for 2025!