Registration Form

Registration Information
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Student Information
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School Information
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Teacher Information
Instructional Agreement
  1. Submission of this form confirms your acknowledgement of our Instructional Agreement.
Credit Card Authorization
  1. By clicking the SUBMIT button below you hereby certify that you are the card owner and have authorization to charge on this card. Additionally, you authorize Bridges to charge the fees for our services every 4 weeks on your credit card. Your authorization will remain in full force and effect until revoked by you in writing.
  2. By clicking the SUBMIT button you also hereby approve and authorize Bridges to charge your credit card the tutoring fees for the first 4 weeks. This is NONREFUNDABLE.
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