ZHS AVID Summer Bridge Program 2023

6/5/23 - 7/10/23

Student Name Student Name First Last
Student Number
Current Grade Level (2022-2023)

Current Grade Level (2022-2023) 9th 10th
Parent/Guardian Name Parent/Guardian Name First Last
Parent/Guardian Phone Number Parent/Guardian Phone Number - ### - ### ####
Parent/Guardian Email
Will your student be attending the AVID Summer Bridge Program?

Will your student be attending the AVID Summer Bridge Program? Yes, my student will attend No, my student will not attend
If available, I would like bus transportation for my student.

If available, I would like bus transportation for my student. Yes No
Parent Signature

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.