God's Little Angels Academy
ONLINE GLA ACADEMY "School of Excellence"
Where Students Believe, Achieve and Succeed
Student's Name:*
Student's Address:*
Student's Phone:*
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Student's Grade:*
Date of Birth:*
Social Security Number:*
Mother's Phone:
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Mother's Work Phone:
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Father's Phone:
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Father's Work Phone:
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Emergency Contact Name:*
Emergency Contact Phone:*
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Teacher's Name:*

* Required Field

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