High School Programs Enrollment Form
Thank you for your interest in enrolling in the Grade A Plus, Academic, Enrichment, and Mentoring Program for high schoolers. 

STEP ONE: APPLICATION
The application form provides space for information for one high school student. The information this form asks for is to help staff organize the information received and to provide data as required by our program funders. Please be sure to review each section before submission.

STEP TWO: LIABILITY WAIVER
After submission, a liability waiver will be emailed to the parent whose email is listed in the form. Parent is required to digitally sign the form before student can engage in the program.

When you submit your Family Application form, please send a message through the "CONTACT US" box on our website to alert us about your application.  (https://www.gradeaplusinc.org/contact).  Thank you for your interest in this program. We hope to meet you and be able to provide service and support for your child(ren). 

Sincerely, 
The GAP Learning Team
Sign in to Google to save your progress. Learn more
Student Name
Student Phone Number
Student Email
Student Age
Student Grade
Clear selection
Select which program to sign up for
Parent's Name
Parent's Phone Number
Parent's Email
I understand a liability waiver will be emailed to the address listed as "Parent's Email," and enrollment in program cannot be completed until waiver is signed.
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Grade A Plus Incorporated.

Does this form look suspicious? Report

Google Forms