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GCC Summer 2022 Theater Week Registration
*
1.
Contact Info
(Required.)
Parent/Guardian Name
Address
City/Town
State/Province
ZIP/Postal Code
Email Address
Phone Number
*
2.
Relation
(Required.)
Mother/Stepmother
Father/Stepfather
Grandparent
Foster Parent
Other (please specify)
Parent or Guardian 2
3.
Contact Info
Parent/Guardian Name
Address
City/Town
State/Province
ZIP/Postal Code
Email Address
Phone Number
4.
Relation
Mother/Stepmother
Father/Stepfather
Grandparent
Foster Parent
Other (please specify)
*
5.
Pick Up Permission/Emergency Contact
(Required.)
*
6.
Emergency Contact Phone Number
(Required.)
*
7.
Student First Name
(Required.)
*
8.
Student Last Name
(Required.)
*
9.
Grade 2021-22 School Year
(Required.)
*
10.
Birthdate
(Required.)
*
11.
Fee Schedule/Based on School Lunch Status
(Required.)
Full Pay $40/Student
Reduced $20/Student
Free $5/Student
*
12.
Permission to use the student’s name and/or photos in articles, on websites/blog/social media, and other materials to promote the program and share accomplishments
(Required.)
Yes
No
*
13.
Add another student
(Required.)
Yes
No
Current Progress,
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