If you have more than 1 child to register, please click on the (+) icon next to the Age field on the far right.
Please enter an email address you check frequently.
This field is optional. Please enter Guardian's relationship to child if applicable.
Medical Information (Important)
If you're registering multiple children, and some of them are NOT covered by medical insurance, please insert their names in the box below.
If you're registering multiple children, please let us know the individual allergies of each child.
If you're registering multiple children, please let us know the individual conditions of each child.
Contact’s name, number (cell, work, home), relation to child
If there's anything else we need to know about your child, please type it here. Your information will be kept private & confidential.
By signing below, I agree to abide by the rules of Guidance Academy and I understand that if I wish to later cancel our application, there will be a 50% cancellation fee applied.
Please type your first & last name, which will serve as an electronic signature.