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Confirm
If this information is correct, please click Verify button.
If this information is correct, please click Verify button. If it is not correct, please contact your school's administrator.
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If this information is correct, please click Verify button.
GCS Summer Learning 2021
Current School
Current Grade 2020-21 school year
Parent name first and last
Enter Phone Number
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Complete the fields below to finalize your student's invitation to the Summer Program.
IEP
504
Yes
No
Selection
Yes
No
Selection
First Session June 14- July 1
Second Session July 12-July 29
Both Session June/July
Selection
English
Spanish
Vietnamese
Urdu
Arabic
French
Other
Selection
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Yes
No
Selection
Yes
No
Selection
Yes
No
Selection
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Student ID
FIRST Name
Student First Name
LAST Name
Student Last Name
Student Birthdate (MM/DD/YYYY)
Current School
Student ID - enter ID and press enter and a search and field completion will be done
Current Grade (2020-21 school year)
SEARCH
Address
Street Address
Apartment # (if applicable)
Apartment
City
City
Zip Code
Zip Code
Parent Name (First & Last)
Phone Number (3363708179)
Email address
Emergency Contact Name (First/Last)
Emergency Contact Relationship
Emergency Contact Phone Number (3363708179)
Does your child have an
IEP or 504 Plan?
Check the one that applies.
Does your child have any known
allergies or medical conditions?
Please describe the allergies or
medical condition(s) that your
child may have?
Please select the appropriate section you will be attending:
Is your child an English Language Learner?
If Other, please type in language.
Primary language spoken at home
Do you need bus PM transportation?
Do you need bus AM transportation?
Do you need bus transportation?
PLEASE SELECT YOUR TRANSPORTATION OPTION:
Please enter afternoon drop address.
Please enter morning pickup address.
Number
Street
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Yes
No
Selection
Verify
Verify
Verify
Please confirm all information by checking the Confirm box.
Submit
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