Registration Form
  • The Bridge Enrichment Academy

    Registration Form
  • Please read this important information regarding your child's experience and print a copy for reference.

  • Information

  • Parent/Guardian Information

  • Emergency Information

  • Authorized to Pick Up

    ****Only those listed will be authorized to pick child up. Anyone picking up MUST come inside to sign child out. No exceptions!!!!!
  • Allergies

  • Rules and Regulations

  • All sessions are Tuesday through Thursday.

    Summer Camp runs June 10th through July 17, 2025. 

    After School begins September 2, 2025.

    $100 registration fee for summer and $100 registration fee for after school.

    Please be sure to go over these with your child to ensure clear understanding.

     


    1. When you enter the room, learning is fun and cooperation is expected. Our positive attitude andmutual respect are part of everything we say and do. All guests and staff should be treated with utmost respect.

    2. When you enter the class, go to your seat and put your materials in its appropriate place.

    3. Keep your hands and feet to yourself.

    4. Singing, humming, and yelling are not allowed.

    5. Writing or drawing on the board is not allowed without permission.

    6. You must sit properly (no heads down on the table).

    7. No students are allowed to use any version of “shut up.”

    8. If you have any questions or need help, raise your hand and wait to be recognized before speaking.

    9. No running inside at any time (no pushing and shoving).

    10. Only one person at a time in the bathroom. Please ask staff for key  

    11. No huddling or entering any rooms other than classrooms without permission (do not enter the kitchen at any time).

    12. Please remember to clean up after yourself. If you take out games, cards, arts, etc., put it back in itsproper place before leaving.

    13. Do not drop garbage/trash on the ground outside. Make sure all is picked up before coming inside.

    14. If you use any sports equipment, games, balls, etc., bring them back inside and put in the proper place.

    15. Please "speak" when entering the building, any room or if you get on the van or any vehicle provided by Wear It Well.

    16. All rules above apply when riding the van. DON'T LOSE YOUR RIDING PRIVILEGES.

    17. Be courteous, and do not use profane language (cursing).

    18. Do not eat or drink ANYTHING on the van.

    19. Keep the van clean.

    20. Cooperate with the driver.

    21. Do not be destructive (do not tear up anything).

    22. Stay in your seat at all times.

    23. Do not fight, push or shove. (Again, keep hands and feet to yourself).

    24. Wait for the van to stop to exit. (Last one off, make sure you close the door).

    25. The van driver is authorized to assign seats and recommend those who have lost riding privileges.

    *WE HAVE A ZERO TOLERANCE FOR DISRESPECTING STAFF, BULLYING AND EXTREME INAPPROPRIATE BEHAVIOR. Any student displaying such behavior will be immediately released from all of our programs. NO EXCEPTIONS!

     

  • Mandatory Parent Meeting

    You are required to attend a mandatory parent meeting prior to your child being accepted in our program. This application does not guarantee your child will be accepted.
  • Policies and Procedures

  • 1. ADMISSION: Each student must be enrolled in the program by a parent or legal guardian.

    2. ATTENDANCE: Daily attendance will be taken. The Bridge Enrichment Academy operates Tuesday through Thursday (after school - 5:30 PM) and during summer (12:00 PM - 5:30 PM). Open to children ages 10-18.

    We are located at 311 Government Street, Tupelo, MS 38801. We sometimes use partner organizations for larger events: Tupelo Police Athletic Leage - 204 Douglas Street, Tupelo, MS 38801.

    We pick up from Milam and Tupelo Middle School only for after school.

    All kids must be dropped off and picked up by parent/guardian for summer camp.

    Our contact number for The Bridge is (662) 401-6399 for call or text. This phone is with your chld at all times. If no answer, please call or text our Founder & Visionary, Katina Tucker, at (662) 401-6331. Please do not contact this number as the first point of contact. For emergencies only or if not able to get a response from (662) 401-6399.

    3. DISCIPLINE POLICY: The purpose of discipline policy is to facilitate a positive climate where each student feels safe and secure, where volunteers and staff agree on general principles of discipline within a framework of progressive discipline: where parents are kept informed of their child’s behavior and are encouraged to support our decisions; and where all students are provided with opportunities to grow in personal and social development and, if they are involved in a discipline concern, are given due process.

    4. PICK UP POLICY: Your child will be supervised inside until 5:30 PM and can only be picked up by parent/guardian or those authorized. ALL CHILDREN MUST BE PICKED UP BY 5:30 PM unless other arrangements are made with our office. A LATE FEE OF $10 WILL BE EXPECTED AT TIME OF ARRIVAL (10 minute grace period). Anything over the 10 minute grace period will be $25.

    5. MEDICATION POLICY: A parent or guardian will be called to pick up a child who is sick or injured. Medication will not be administered without written permission from the parent or legal guardian. PARENTS & STUDENTS: Please read all information for The Bridge Enrichment Program carefully. Then sign the contract electronically.

    6. FEES AND DONATIONS: $50 registration fee and $50 activity fee: $100

  • Informed Consent and Acknowledgement

  • I hereby give my approval for my child’s participation in any and all activities prepared by Wear It Well during the selected program. In exchange for the acceptance of said child’s candidacy by Wear It Well, I assume all risks and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Wear It Well and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected sessions.

    In case of injury to said child, I hereby waive all claims against Wear It Well including all staff, volunteers and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

    1. Release. I recognize that in participating in program activities, a risk of harm or injury exists, including, without limitation, physical injury or death. I agree that program participation is at my or my child’s risk and I assume full responsibility therefore. On behalf of myself and/or my child, and our respective heirs and personal representatives, I hereby release Wear It Well, including any subsidiaries and affiliates, and their respective officers, directors, trustees, employees, donors, volunteers, agents, representatives, successors, and assigns (the “Released Parties”), from and against any and all responsibility of any nature and for any loss or damage to property or personal injury to me and/or my child arising out of or in any way connected with my and/or my child’s activities as a Wear It Well program participant. I hereby consent to the use of my and/or my minor child’s or ward’s name and/or likeness in such materials to be exhibited and used for advertising, trade purposes, solicitation of patronage, promotional purposes, or other similar purposes, even if my and/or my minor child’s or ward’s name and/or likeness are an integral part of such photograph, videotape, television program, motion picture, tape recording, or other similar media. I further waive any and all rights to inspect or approve the photograph, videotape, television program, motion picture, tape recording or other use of my and/or my minor child’s or ward’s name and/or likeness, including any written article, script, caption or other writing that may accompany such use of my and/or my minor child’s or ward’s name and/or likeness. I hereby, for myself, my minor child or ward, heirs, and executors, waive, release and forever discharge Wear It Well and its employees, agents, representatives, successors and assigns, from and against any and all liability, claims, losses, costs, expenses or damages for libel, slander, invasion of privacy, conversion, defamation, appropriation of likeness or any other claim based on the use of my and/or my minor child’s or ward’s name and/or likeness in any such materials. Further, I attest that I am the parent or legal guardian of the child or children listed below and that I have full authority to consent and authorize Wear It Well to use their likeness and name.

    2. Indemnification. I hereby indemnify and hold harmless the Released Parties from and against any and all claims, liability, demands, and causes of action, costs (including counsels’ fees), expenses, and damages whatsoever, at law or in equity, arising out of the rights granted to the Released Parties in this Release. I
    acknowledge that the Released Parties will rely on this Release, potentially at substantial cost to them, and hereby agree not to assert any claim of any nature whatsoever against anyone relating to the exercise of the permissions granted hereunder.

    3. Acknowledgment. I expressly acknowledge, on behalf of myself and my minor child, heirs and executors, that I voluntarily assume the sole risk for any and all dangers, illnesses and personal injuries that may result from my or my minor child’s or ward’s participation in any events/activities/programs/classes led or sponsored by Wear It Well. I agree and understand that I and/or my child must comply with all Wear It Well rules and program procedures and that failure to do so may result in immediate removal as a program participant.

    4. Parental Consent for Minor Participation. I represent that I am the parent or legal guardian of the minor listed below and I hereby agree that we shall both be bound by this release. I hereby consent to and authorize my child to attend and/or participate in any and all Wear It Well programs and activities.

    I expressly agree that this Release is intended to be as broad and inclusive as permitted by the laws of my state of residence, and that any disputes arising out of this Release shall be resolved before a court of competent jurisdiction in the State of Mississippi. I acknowledge that I have read and understand this Release prior to signing
    it. I further certify that I am eighteen (18) years of age or older.

     

  • Medical Release and Authorization

    As Parent and/or Guardian of the named child, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.

    Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.

    Permission is also granted to Wear It Well and its affiliates including Directors, volunteers, and staff to provide the needed emergency treatment prior to the child’s admission to the medical facility.

    Release authorized on the dates and/or duration of the registered season.

    This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.

  • Confirmation

    BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL WET INK SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL WET INK SIGNATURE FOR LEGAL PURPOSES.

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