2024-2025 Community Bridges Enrollment Form |
Community Bridges (CB) is an organization in Montgomery County, MD that empowers girls from diverse backgrounds to become exceptional students, positive leaders, and healthy young women. We offer a school-based empowerment program to girls in 4th through 12th grades. In order to participate in our programs, field trips, and events, please complete this enrollment form. Students interested in participating in Community Bridges, must enroll by completing this form with a parent or guardian.
The following information is collected for the purposes of managing the Community Bridges programs and fulfilling our mission. Demographic data is used for reporting purposes only. All names and information will be kept confidential. Please complete every section:
The following information is collected for the purposes of managing the Community Bridges programs and fulfilling our mission. Demographic data is used for reporting purposes only. All names and information will be kept confidential. Please complete every section:
- Participant Contact Information & Demographics
- Parent and Emergency Contact Information
- Health Conditions, Allergies, and Insurance Information
- Income & Household Size
- Authorizations & E-Signature
Activity Fee: Please note that we have a sliding scale Activity Fee based on family income. If this is financial burden to your family, you pay note how much you are able to pay at the end.
If you prefer to complete a paper copy or have any questions, please reach out to a CB staff member or reach out to via email to info@communitybridges-md.org