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School Name

GSA Name (if applicable)

School Address

City

State

GSA Advisor(s) name(s)
GSA Advisor(s) email and/or phone
I give the Illinois Safe Schools Alliance GSA Advisors Name(s) permission to post information about our gay-straight alliance club, including my name and phone number/email address on www.illinoissafeschools.org For more information about the GSA Network please contact David Fischer: David@illinoissafeschools.org (312) 368-9070 x15