2016 GAYLA Sign Up
This is a sign up form for the Gayla Alternative Prom. This is NOT a permission slip. The host school requires a permission slip in addition to this sign up form. This form is used for food planning and estimated attendance.
Student's Full Name *
Your answer
Home Address *
Your answer
Cell Phone Number *
Your answer
Email Address *
Your answer
School you currently attend *
Your answer
Parent/Emergency Contact Name *
Your answer
Parent/Emergency Contact Phone Number *
Your answer
Does your school have a GSA (Gay-Straight Alliance)?
Your answer
Who is your school's GSA Adviser?
Your answer
Are you planning on attending with other students from your school?
Your answer
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