Theme School Application 2021-2022

STUDENT INFORMATION

APPLICATION IS REQUIRED FOR ALL STUDENTS

GRPS Student ID Number (if known) 🛈

Grade Applying To: * 🛈

Student's Legal First Name *

Student's Legal Middle Name

Student's Legal Last Name *

DOB must be entered with slashes

separating month, day, and year.

Use the following format: MM/DD/YYYY.

Date of Birth * +

Current School Attending (2020-2021): *

Street Address *

City *

State *

Zip Code (5 digit) *

Does your child receive special education services? *

Yes

No

Does your child have a 504 plan? *

Yes

No

PARENT/GUARDIAN INFORMATION

Parent/Guardian First Name *

Parent/Guardian Last Name *

I am a GRPS employee *

Yes

No

Mailing Address (if different than student home address)

Mailing City

Mailing State

Mailing Zip Code (5 digit)

Phone Number *

The email address you provide will be used for official communications regarding your student's theme school application. Email will be our main form of communication.

Email Address *