New Client Registration Form

We look forward to working with your family and supporting you through your college planning journey. Please complete the information below.

Student Information
Please provide your student's information below.
Student's Name *
Student's Name
Student's Home Address *
Student's Home Address
Student's Birthdate *
Student's Birthdate
Enter as 4-digit year
Enter Grade Point Average. If unsure, type "unknown."
In which program are you enrolling your student? *
Select one program from the options below.
Primary Parent/Guardian Information
This person is responsible for payment of services.
Name *
Relationship to Student *
Mailing/Billing Address *
Mailing/Billing Address
How did you hear about Estrela Consulting? *
Please check all that apply.
Secondary Parent/Guardian Information
Please provide secondary parent or guardian information if applicable.
Relationship to Student
Terms & Conditions
Terms & Conditions
By clicking the check below, you declare to accept our Terms & Conditions
By typing my name below I agree to the terms and conditions as outlined above.