Homeschool Admission Form
Homeschool Admission Form
Please fill out this form to apply for your child's admission to our homeschool program.
Student Information
Name
Date of Birth
Age
Grade Level
Previous School (if applicable)
Parent/Guardian Information
Name
Relationship to Student
Address
Phone number
Emergency Contact
Name
Relationship to Student
Phone number
Alternate Phone Number
Reason for Homeschooling
Please provide a brief reason for choosing homeschooling.
Signature
Name:
Date:
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