Parents Full Name
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Email
*
Phone
*
Address
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Postal code
*
Your District of Residence
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Select from options
Conejo Valley Unified
Moorpark Unified
Simi Valley Unified
Pleasant Valley Unified
Oak Park Unified
Other
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Grade Level of Child(ren) for 2024 - 2025 SY:
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Transitional Kindergarten
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
Your child's first and last name and birthday. If you have multiple children that you wish to enter into our lottery, please list each child and their birthday separated by a comma.
*
Do you have another child that already attends Bridges?
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Yes
No
Which programs do you want your child to be enrolled in? (check all that apply)
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Classroom Based
Hybrid Homeschool
Have you attended a parent information session?
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Yes
No
Have you attended a parent information session?
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