GEMS Registration

GEMS Registration

Gems: Every 4th Friday
CHILD INFORMATION:
Child Name *

First Name Last Name
Birth Date *

Month Day Year
Grade in fall *
Name of School *
E-mail *
example@example.com
Phone Number

Area Code Phone Number
T-Shirt Size *
Are you able to access zoom?

Yes N0
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
E-mail *
Should be Empty: