Register For Fall Learning Labs (coming soon)

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Tell Us About Your Child

Child's Name

Birth Date

Sex

Parent 1 Info

Name

Address

City

State

Zip

Employer & Occupation

Home Phone

Work Phone

Cell Phone

Parent 2 Info

Name

Parent 2 has same address

Address

City

State

Zip

Employer & Occupation

Home Phone

Work Phone

Cell Phone

School Information

School Name

Grade

District

IF PARENT CANNOT BE REACHED, CALL:

Name

Relationship

Phone

Physician

Physician Phone

Allergies & Limitations

Class Selection

9:30 Class Title

9:30 Alternate Class Title

11:10 Class Title

11:10 Alternate Class Title

I am willing to volunteer on Saturdays while my child is in class

I am a current member of GRC

How did you learn about GRC?

Payment Information

Summary

Please enter a class selection.

By clicking the button below you agree to allow Gifted Resource Council to charge your indicated credit or debit card a one-time amount and apply for the indicated Learning Labs.

I agree to all the terms of the GRC Online Payment and Online Donation Policy

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