Sign-up for e-Bulletin « Galileo Enrichment

You and your kids are invited to a Galileo experience!

Please complete the form below:

* Subject

* Full Name

* Complete Address

* Telephone #'s

* Cell Phone#'s

* Primary E-mail

Alternate E-mail

* Occupation

Company

Civil Status:

Single Married

Gender:

Male Female

Please introduce us to your kids:

Is your kid enrolled in an after-school enrichment / tutorial program?Yes No

If yes, which program? Since when?

What kind of non-school activities would you like your kids join?

* Verify

Galileo Enrichment