GEMS Girls Club of Hope 2018/19
Registration form for September 2018 - April 2019
GEM's First Name *
Your answer
GEM's Last Name *
Your answer
Grade entering 2018-2019? *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Healthcard # *
Your answer
Allergies/Medications? *
Your answer
Are you new to GEMS Club this year?
Do you need to register another girl to GEMS?
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