JHMS GAP! Registration 2023-24

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Every Tuesday and Wednesdays, after school - 5:30 pm in Ms. Harts' Art Room

Start dates: Tues, Feb 6th & Wed, Feb 7th, 2024 - Tues, May 21st & Wed, May 22nd, 2024

Registration Fee: $60 due the 1st day of GAP! AND $60 due after Winter break

Email gapgirljh@gmail.com for any questions

Email / La Dirección Electrónica *

Participant Name/ Nombre de la Participante *

Birthday / Fecha de Nacimiento

YYYY

Grade / Grado *

Cohort/Grupo *

A (Will attend GAP! on Wednesdays/Asistirá a GAP! los miércoles)

B (Will attend GAP! on Tuesdays/Asistirá a GAP! los martes)

Parents or Guardians / Padres o Tutoras legales *

Phone Number / Número Telefónico: *

Okay to text? / ¿Podemos enviarte textos? *

Yes

Mailing Address / La Dirección Postal

Can GAP! use photos of your daughter in promotional material? / Puede GAP! usar fotos de su hija en material promocional?: *

Yes

Please input your name here for permission to use photos of your daughter in promotional material. / Por favor escribe su nombre aquí para dar permiso a GAP! para usar fotos de su hija en material promocional.

Allergies, Medications, Medical Conditions, or None/ Alergias, Medicamentos, Enfermedades, o Ninguna

Is there anything you would like me to know about your daughter? / ¿Qué más necesita saber GAP! sobre su hija?

I understand that $60 is due on the 1st day of GAP! (cash, check, PayPal)/Entiendo que $60 se debe en el primer día de GAP! (cash, check, via our website)

Yes

I would like information about a scholarship/ Me gustaría información sobre una beca

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