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GITS Student COVID-19 Reporting Form
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* Indicates required question
Student Email Address:
*
Your answer
First Name:
*
Your answer
Student Last Name:
*
Your answer
Student ID number: (ex. 20001234)
*
Your answer
Student Date of Birth:
*
MM
/
DD
/
YYYY
Parent/Guardian First Name:
*
Your answer
Parent/Guardian Last Name:
*
Your answer
Parent/Guardian Phone Number:
*
Your answer
School Building:
*
Choose
Parke Lane Elementary
Meridian Elementary
Grosse Ile Middle School
Grosse Ile High School
Student Grade: (PreK-12):
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PreK
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
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