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GEMS Enrichment Math and Science - Registration
Please use the form to register your child for GEMS classes.
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Student First Name
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Student Last Name
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School Grade
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1
2
3
4
5
6
7
8
Subject
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Math
Science
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Student Email
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Parent1 First Name
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Your answer
Parent1 Last Name
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Parent1 Email
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Parent1 Phone
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Parent2 First Name
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Parent2 Last Name
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Parent2 Email
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Parent2 Phone
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School Name
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School City
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School State
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Home Street Address
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Home City
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Home State
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