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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? _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ What do you expect of your child's mentor? _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ 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: _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ Are you available to volunteer your time and/or services to The G.E.N.T.S. Academy? If so, please tell us how. _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ 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 or Click "Register Now" and it will be emailed to The Academy Administration Methods of payment: 1. By mail 2. In person