Child Registration Form

Please fill out the form for each student registering

Note: You have the option to print the Child Registration Form

Enter the number with dashes as shown
Enter the number with dashes as shown

Emergency Contact Information

Provide local person(s) to be called in case the parent/guardian cannot be reached:

Enter the number with dashes as shown
Enter the number with dashes as shown

Medical History

Does your child have allergies or medical condition(s) that the school needs to be aware of? *

(Note: Teachers are not authorized to administer medicines or provide medical related services.)

Medical Treatment

If the parent/guardian cannot be reached in case of serious injury or illness, I authorize the school to take such emergency action necessary, including the transportation of the student to a hospital or medical center. As a parent/guardian, I authorize treatment by a qualified and licensed medical doctor of the above listed minor(s) in the event of a medical emergency. This authority is granted only after a reasonable effort has been made to contact me

Signature Agreement:

Parental Consent and Release or Public Relations, Internet/Website Information

Media Authorization *
Student's Tuition

$400.00Add to cart

Annual Snack Fee

$40.00Add to cart

* Remember to pay for your student's tuition after submitting the Registration form by viewing the cart.

Use Promo code at checkout:
Promo Code for 2 Students: 2STUDENTSGLS50
Promo Code for 3+ Students:  MULTISTUDENTSGLS150