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Please complete the form below to begin the application process. Our admissions team will follow up shortly.

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Student's name *

Date of Birth *

Sex *

Grade *

Previous School's Name *

Parent's Name *

Email Address *

Cell Phone Number *

Best Call Back Time *

Address *

Programs of interest *

GHA partners with MG Behavior (BHCOE accredited) and My Therapy Center.

Scholarships your child participates in *

When would you like your child to start? *

How did you hear about us? *

Therapies needed (optional)

What insurance does your child have? (optional)

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.

Documents to prepare

After submitting your application, please be ready to share your child's most recent IEP, psychological evaluation, last report card, and any standardized test scores.

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