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GCS SummerCare Application
Please complete the following application for Summer Care.
Students Name
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Applicant Gender
Applicant Age
Parent Name:
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Parent Email:
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Parent Phone Number
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Parent Cell Number
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Parent Work Phone Number
Your answer
Family Residence Address
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Emergency Contact Name
Your answer
Emergency Relationship to the Applicant
Your answer
Emergency Contact Phone Number
Your answer
Emergency Contact #2 Name
Your answer
Emergency Contact #2 Relationship to the Applicant
Your answer
Emergency Contact #2 Phone Number
Your answer
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