GCHS Registration Form
BEACON is a program of the Grand County School District, funded through State and community grants. This form allows your student to participate in our programming.

Students are responsible for signing themselves in and out. Your student will have access to a telephone to call for a ride.

Attendance at BEACON Afterschool Program is voluntary. BEACON will have a sign in and sign out procedure for program data tracking purposes, but is not responsible for ensuring the attendance of your child.

Any questions or concerns please contact  Emily Rutkowski, BEACON High School Lead at rutkowskie@grandschools.org

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Email *
Student Name *
Date of Birth *
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DD
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Grade *
Parent/Guardian *
Parent/Guardian Phone Number *
Parent/Guardian
Parent/Guardian Phone Number
Email Addresses
Dietary restrictions/Allergies
Current Medications
Special Needs or other relevant information
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