Career Tech Guam: Registration Form

Registration Form
Student Information
Student First Name
Student Last Name
Email
example@example.com
Student Phone Number
Please enter a valid phone number.
Grade Level During SY22-23
Student Date of Birth

Month Day Year
Date
Student Home Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Will the student require bus transportation from this address?
Previous school (prior to Career Tech)
Please upload your Student's Transcript here (if applicable)

Cancel of
Parent/Guardian #1 Information
Parent/Guardian #1 First Name
Parent/Guardian #1 Last Name
Email *
example@example.com
Parent/Guardian #1 Primary Phone Number
Please enter a valid phone number.
Parent/Guardian #1 Secondary Phone Number
Please enter a valid phone number.
Parent/Guardian #1 Email Address
example@example.com
Parent/Guardian #1 Home Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Parent/Guardian #1 Mailing Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Parent/Guardian #2 Information
Parent/Guardian #2 Last Name
Parent/Guardian #2 First Name
Parent/Guardian #2 Primary Phone Number
Please enter a valid phone number.
Parent/Guardian #2 Secondary Phone Number
Please enter a valid phone number.
Parent/Guardian #2 Email Address
example@example.com
Parent/Guardian #2 Home Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Parent/Guardian #2 Mailing Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Thank you for filling out Registration Requirement #1. Please proceed to Registration Requirement #2, the Physical Exam Form.
Should be Empty:

Registration Form

Student Information

Parent/Guardian #1 Information

Parent/Guardian #2 Information