First Year Development Program
Summer Bridge Reservation Form

Please complete this form and submit it to reserve your spot in FYDP and the Summer Bridge program.

Also, if you have not yet submitted your $150 Summer Bridge fee and your $350 deposit to the College ($200 if you are from the local area and will be living at home during the school year), please do so at www.css.edu/onlinedeposit.

Your medical records must be on file at the College by the beginning of Summer Bridge on Sunday, August 24, 2014.


Attendee Information
*

*

*


*

*

*

*

*

*

*
* phone mail email cell phone
Health Information






Emergency Contact Information
Please select two people in case of emergency.
*

*

*

*

*










Note: If you are under the age of 18 by the start of Summer Bridge, Aug. 24, you must have parent permission by having a parent electronically sign this form below.
By checking the box below, I give my son/daughter permission to attend the FYDP Summer Bridge program at The College of St. Scholastica.