Student's Biography:
First Name:		Middle Initital: (optional)
Last Name:		Birth Date:	/ / (MM/DD/YYYY)
Gender:	Male           Female
Address 1:
Address 2:
City:		State:
Country:		Zip Code:
Home Phone Number:	* include area code	Fax Number:	* include area code
E-mail address:
Current School:			Current Grade:
Inquiring for Grade:		To begin in:	(year)
Student Status:	<% strChecked = "" If Instr(Request("Boarding"), "Day") > 0 Then strChecked = "checked" If Trim(Request("Boarding")) = "" Then strChecked = "checked" %> <% strChecked = "" If Instr(Request("Boarding"), "5-DayBoard") > 0 Then strChecked = "checked" %> <% strChecked = "" If Instr(Request("Boarding"), "7-DayBoard") > 0 Then strChecked = "checked" %>   Day Student   5-Day Board   7-Day Board
How did you hear about Gilmour?
Special Interests or Extracurricular Activities:
Mother's Name: (Or Legal Guardian)	Dr. (First)                 (Middle)             (Last)   Mrs.   Ms.
	Work Number:	* include area code
	Home Phone Number:	(if different from Student's)
	Fax Number:	(if different from Student's)
Father's Name: (Or Legal Guardian)	Dr. (First)                 (Middle)             (Last)   Mr.
	Work Number:	* include area code
	Home Phone Number:	(if different from Student's)
	Fax Number:	(if different from Student's)
Parents are:	Married   Divorced   Separated   Single   Widowed