Student Information Contact Card
Please complete the following student information contact card one time. Due to COVID-19, this is a digital card at this time instead of an in person card filled out at your class meeting.
Email address *
Student First Name *
Student Last Name *
What high school do you go to? *
What year will you graduate? *
Student Cell Phone Number *
By giving this cell number, I give my consent to GA Balfour to send informational text message news including order days, payment due dates, offers and more to my cell phone. (Message and data rates may apply.) JUST ENTER THE 10 DIGIT NUMBER. No spaces, no dashes
Parent Cell Phone Number
JUST ENTER THE 10 DIGIT NUMBER. No spaces, no dashes.
A copy of your responses will be emailed to the address you provided.
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