GEMS Girls Club of Hope 2019/20
Registration form for Gems Club (September 11,2019 - April 29, 2020)
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GEM's First Name *
GEM's Last Name *
Grade Entering 2019-2020? *
Birthdate *
MM
/
DD
/
YYYY
Healthcard # *
Allergies/Medications? *
Are you new to GEMS Club this year?
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School my GEM attends
Do you need to register another girl to GEMS?
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