Homeschool Registration Form

Gift Cards

HOMESCHOOL REGISTRATION FORM

PICK YOUR LOCATION

PARENT / GUARDIAN INFORMATION(Required)

D.O.B(Required)

Email(Required)

Phone(Required)

CHILD INFORMATION(Required)

GRADE(Required)

ID NUMBER (if applicable)

D.O.B(Required)

HOMESCHOOL NAME(Required)

HOME EDUCATOR(Required)

SUPPORTING DOCUMENTS (FOR EACH CHILD)

Max. file size: 8 MB.

HOME SCHOOL ID & HOME SCHOOL REGISTRATION LETTER

CHILD 2 INFORMATION

GRADE

ID NUMBER (if applicable)

D.O.B

HOMESCHOOL NAME

HOME EDUCATOR

SUPPORTING DOCUMENTS (FOR EACH CHILD)

Max. file size: 8 MB.

HOME SCHOOL ID & HOME SCHOOL REGISTRATION LETTER

Consent

I agree that my submitted data is being collected and stored.

CAPTCHA

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