JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Galaxy Enrolment Form
Welcome to Galaxy!
This form will get us all the information we need to successfully enrol your child into classes.
Please be sure you check all information is correct and all classes are indicated for enrolment.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Student FIRST Name:
*
Your answer
Student SURNAME:
*
Your answer
Student Date of Birth (month-day-year)
*
MM
/
DD
/
YYYY
Parent/Carer FIRST Name:
*
Your answer
Parent/Carer SURNAME:
*
Your answer
Parent/Carer Mobile:
*
Your answer
Emergency Contact: please provide name and mobile number
*
Your answer
Address:
*
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
