REGISTRATION

The G.E.N.T.S. Academy

Registration includes:

One Ticket to Participate in The Academy Cotillion

The G.E.N.T.S. Academy Supplies

Bi-Weekly Breakfast & Lunch

Registration is $75 per student and is due the 1st day of class.

Registration Form

Last Name:  _____________________    First Name: _______________________________
Address: __________________________________________________________________
City:_______________________________     State:_______     ZipCode:________________
Home Phone:______________________  Alt. Phone:_______________________
Date of birth:________/________/________

Parent/Guardian Name:__________________________________________________
Phone Number:___________________________    Alt. Phone:___________________
Email Address:________________________________________________________

Emergency Contact:_____________________________________________________
Phone Number:___________________________  Alt. Phone:____________________

What do you expect for your child from The G.E.N.T.S. Academy?
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What do you expect of your child's mentor?
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Does your child have any known food allergies, dietary restrictions or serious health conditions that our Mentors & Administration needs to be aware of? If yes, please describe briefly:
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Are you available to volunteer your time and/or services to The G.E.N.T.S. Academy? If so, please tell us how.
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Are you willing to commit yourself to your child's success in this program?
Yes ______   No _____

There are two ways to pre-register:

1. Print and complete the registration form and mail along with your $75 registration fee per student to:
The G.E.N.T.S. Academy 
PO Box 129 
Owings Mills, MD 21117

Click "Register Now" and it will be emailed to The Academy Administration

Methods of payment:
1. By mail
2. In person