Apply Now Please complete the following form to start the application process. This field is hidden when viewing the formApplication Date Student's name*Date of Birth* Sex*MaleFemaleGrade*Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th GradePrevious School's Name*Parent's Name*Email Address* Cell Phone Number*Best Call Back Time*AnyMorningAfternoonAddress* Please select the programs you are interested in:*GHA has a partnership with MG Behavior ( a 2-year BHCOE accredited behavior agency) and My Therapy Center. School Only School & Therapies Summer Camp Please select the scholarships that your child participates in:* McKay Step-Up Gardiner Other Please specify:*When you would like your child to start school?* Immediately Next Month Next Year Other Date Please specify:*How did you hear from us?* Google Facebook Friend Other Please specify:*Therapies Needed Behavioral Occupational Speech Other Please specify:*What insurance does your child have? Private Medicaid Please specify:*By submitting this form, I authorize a Golden Horizon representative to contact me via email, phone, or SMS regarding services. Signing up for texts means you agree to receive autodialed messages about enrollment at the provided number. Consent is not required for purchase. Msg & data rates may apply. Frequency varies. Reply STOP to unsubscribe or HELP for assistance.
