Grace Elementary Enrichment Program (GEEP) Application

Thank you for your interest in GEEP! Please fill out this form and submit.
General Information

To be filled out by parent/legal guardian.
 
 
 
 
 
 
 
 
 
 
Emergency Contact Information

To be used if parent/legal guardian is not available.
 
 
 
 
 
 
 
 
 
 
Family Information

Some funding we may seek may require that we keep anonymous statistics regarding the children and families we serve. If you are willing to help us with this, please respond to the following questions. Your answers are anonymous and will not affect your child's participation in the GEEP program in any way.
 
 
Please select one option.
Please select one option.
Please select all that apply.
Please select all that apply.
Please select all that apply.
Please select all that apply.
 
Please select one option.
Please select one option.

Description

Thank you for your interest in GEEP! Please fill out this form and submit.