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GCS After-School Program Registration
2022-2023 School Year
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* Indicates required question
Email
*
Your email
Student's Name (First and Last)
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Grade level for the 2022-2023 school year
*
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Required
Elementary School
*
Algonkian Elementary
Countryside Elementary
Required
Parent/Guardian Name(s)
*
Your answer
Parent/Guardian Address
*
Your answer
Parent/Guardian Email
*
Your answer
Parent/Guardian Phone Number
*
Your answer
A copy of your responses will be emailed to the address you provided.
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