Glenwood BPS/GPS Application
This form is for the high school activities during the school year. Every applicant who has never attended a program at Glenwood during the summer or school year, will be contacted for an interview. Every successful applicant will receive further information regarding payment. Contact us at
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First Name *
Last Name *
Date of Birth *
Address *
City *
Postal Code *
Phone Number of Applicant *
NOT the phone number of a parent. A cell phone number is preferable, if possible.
Email Address of Applicant *
NOT the email address of a parent
School *
Name of Father *
Phone Number of Father *
Email Address of Father *
Name of Mother *
Phone Number of Mother *
Email Address of Mother *
Dietary restrictions? Allergies?
How did you hear about us? *
Why do you want to participate?
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