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GLAS Programs Registration!
We're excited to have you join us, please fill out this form so we know a little bit about you.
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Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Age
*
Your answer
Grade
*
Freshman
Sophomore
Junior
Senior
Other:
Gender
*
Female
Male
Nonbinary
Agender
Gender not listed
Prefer not to disclose
Pronouns
he/him
she/her
they/them
pronoun not listed
prefer not to disclose
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Health/Accessibility Concerns
Your answer
Home Address (street, city, state, zip code)
*
Your answer
Name of school
*
Your answer
T-shirt size (adult)
*
Small
Medium
Large
X-Large
Photo Release
*
I give GLAS Education and its partners permission to take photos of my child for educational and promotional purposes only.
I agree
I prefer not
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