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SGA Student-Led Tour

Parent / Guardian Information

First Name *

Last Name *

Salutation *

Email *

Confirm Email *

Gender

Cell Phone *

Home Address

How Did You Hear About Us?

Details

Student 1 Information

Student 1 First Name *

Student 1 Middle Name

Student 1 Last Name *

Student 1 Birthdate

Student 1 Gender

Student 1 Email

Confirm Student 1 Email

Grade Level of Interest *

School Year *

Current School

I affirm that my student does not have a discipline record *

I affirm that my student does not have a discipline record *
A
B

Does your student have any identified special or exceptional educational needs (e.g., other support services)?

Does your student have any identified special or exceptional educational needs (e.g., other support services)?
A
B

My child has a diagnosis for a learning difficulty or medical diagnosis. If yes, please list.

Is There Another Student?

Is There Another Student?
A
B

Parent / Guardian Notes

Comments or Questions