GMA Family Application
If you're interested in joining our GMA family, please review all the information under the "Policies" tab on our website before completing this form.  Once you've done that, come back and tell us a little about yourself!  

There is a $10 application submission fee that is required to complete the application process.  Please send $10 through Paypal to georgemueller.payments@gmail.com.  Please indicate your name and what the payment is for in the notes section of the paypal transaction.  

Applications will not be considered until this is done.
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Parent Info
Parent Last Name *
Parent First Name *
Email Address *
Phone *
Mailing Address *
Spouse/Partner Name
Emergency Contact Person (if different than spouse)
Emergency Contact Phone *
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