2021-2022 Student Information

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We are: *

Returning to Gold Rush

New to Gold Rush

Student's Full Name *

Student's Nickname (if any)

Please fill this out if your child goes by something other than their first name

Student lives with: *

Both Parents

Single Parent- Mom

Single Parent- Dad

Split Time Between Parents

Other:

Email address(es) you want me to use for updates and contact. *

Parent(s) Phone Number(s) *

Please list sibling's name(s), grade(s), and teacher(s) on our campus

How will your child go home the rest of the year? *

Walker/Bike Rider

Parent Walkup

Carpool With Other Family

Back carpool (gym)

Bus Rider

BASE

Other:

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