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Student Information Form 2021-2022
Please complete this Student Information Form for your GMS student(s). This data is important for our record keeping and data base. Please submit this form by Monday, June 7, 2021. Thank you!
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Email
*
Your email
SECTION 1: FAMILY INFORMATION
Please fill in ALL of the information below.
Student's Legal First Name:
*
Your answer
Student's Legal Middle Name:
*
Your answer
Student's Legal Last Name:
*
Your answer
Student's Preferred Name:
*
Your answer
Student's Preferred Pronouns:
*
Choose
He/Him
She/Her
They/Them
Other pronouns. Please let us know the preferred pronouns.
Date of Birth:
*
MM
/
DD
/
YYYY
Grade in 2021-2022:
*
Choose
K
1
2
3
4
5
6
7
8
First Name of Legal Guardian (1):
*
Your answer
Last Name of Legal Guardian (1):
*
Your answer
Preferred Pronoun of Legal Guardian (1)
*
Choose
He/Him
She/Her
They/Them
Other pronouns. Please let us know the preferred pronouns.
Occupation and Employer:
*
Your answer
First Name of Partner/Spouse (if NOT listed as guardian 2):
Your answer
Last Name of Partner/Spouse (if NOT listed as guardian 2):
Your answer
(if NOT listed as guardian 2) Preferred Pronoun of Partner/Spouse:
Choose
He/Him
She/Her
They/Them
Other pronouns. Please let us know the preferred pronouns.
Street Address:
*
Your answer
City:
*
Your answer
State:
*
Your answer
Zip Code:
*
Your answer
Cell Phone:
*
Your answer
Home Phone:
Your answer
Primary Email Address:
*
Your answer
Is there a second Legal Guardian?
*
Yes
No
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