GO Learning Student Application Form
Galileo Online Privacy Policy

Galileo respects your privacy and undertakes measures to secure and keep confidential all personal data that you may provide to us or those that we may collect from you. Our Privacy Policy on how we treat your personal data is discussed in the GO Learning Student Application Form.

By submitting your Gmail address, you are agreeing to the above-mentioned policy.
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Email *
Was your child previously enrolled in any Galileo Program? *
Student's Name *
Date of Birth *
MM
/
DD
/
YYYY
Grade Level in School *
Example: "complete Grade 1" or "incoming Grade 2"
Parent/Guardian's Name *
Address *
Mobile Number *
Preferred Type of Session *
Galileo Branch *
How did you know about Galileo? *
By submitting the Application Form, you agree and consent to the collection, generation, use, processing, storage and retention of your personal data and that of your child by the Galileo Enrichment Learning Program Inc., for the purposes described above. You also authorize Galileo Enrichment Learning Program Inc. to disclose such information to accredited/affiliated third parties or independent/non-affiliated third parties, whenever necessary for the proper execution of processes related to the declared purposes, or when the use or disclosure is reasonably necessary, required or authorized by or under the law. *
Required
I hereby allow my child to appear on photographs and/or videos about Galileo Enrichment Learning Program, Inc.  This declaration of consent permits Galileo Enrichment Learning Program, Inc. to use my child’s photographs or images in their press releases and in any form of media *
Required
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Sacred Heart School.