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Register for Homeschool Classes

indicates a required answer

1. *

Mother's Name:
2. *

Mother's Phone Number:
3. *

Father's Name:
4. *

Father's Phone Number:
5. *

Email Address:
6. *

House Number and Street Address:
7. *

City:
8. *

State (We serve families in the Charlotte, NC metro area):
9. *

Zip Code:
10. *

Number of Years Homeschooling:
11. *

Student First Name:
12. *

Student Last Name:
13. *

Student Age as of September, 2024:
14. *

Student Grade as of September, 2024:
15. 

Second Student First Name:
16. 

Second Student Last Name:
17. 

Second Student Age as of September 2024:
18. 

Second Student Grade as of September, 2024:
19. 

Third Student First Name:
20. 

Third Student Last Name:
21. 

Third Student Age as of September 2024:
22. 

Third Student Grade as of September 2024:
23. 

Fourth Student First Name:
24. 

Fourth Student Last Name:
25. 

Fourth Student Age as of September 2024:
26. 

Fourth Student Grade as of September 2024:
27. *

Which Programs Would You Like to Include in Your Registration?

 (1 required)
Biblical Life Skills Discussion Sessions Homeschool Drop-Off Classes
Homeschool Co-Op in which Parents Help Out Tutoring
How to Homeschool Guidance Sessions
28. *

Have You Paid for Your Choices?
Yes No
29. *

Please tell us any information that you think we need to know:
30. *

Is there any additional information that will help us to get to know you and your students?
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