Virtual Online Instruction Enrollment Form
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Student First Name *
Student Last Name *
Student Address: *
Student Phone Number (notification purposes only) *
Student GCS email *
School you would attend in 20-21 *
Grade Level for 20-21 *
Parent 1  Full Name *
Parent 1 address if different from student
Parent 1 phone number *
Parent 1 email address *
Parent 2 Full Name
Parent 2 address if different than student
Parent 2 phone number
Parent 2 email address
Internet access *
Technology device *
Assurances: please read the statements below, check that you are acknowledging these conditions. *
By typing your name it will serve as your signature that you acknowledge the above conditions required for virtual enrollment. Please sign your name below. *
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