Student Permission Form

By completing this permission form, you’re agreeing to all the terms in the Learning Lounge Student/Parent Handbook .

Student Information:

First Name:

Last Name:

Email:

Mailing Address:

City:

State:

Zip Code:

Phone:

Name of Your School:

Class Standing:

High School Graduation Date (if applicable):

How did you hear about us?

If you answered “other” above, please explain:

Parent/Guardian Information (only needed if under 18):

Parent/Guardian Name:

Parent/Guardian Email:

Parent/Guardian Phone:

GCU Marketing Release:

By selecting “I agree”, I acknowledge and agree to the GCU Marketing Release outlined in the Student/Parent Handbook above and on gcu.edu/LearningLounge.

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