Enrollment Form Parent/Guardian Name(Required) First Last Email (email is the primary source of contact)(Required) Phone(Required)City of Residence(Required) City Zip/ Postal Code Emergency Contact Name(Required) First Last Emergency Contact Phone(Required)Please list all names and ages of potential students over 5 years old.(Required)Tell us a little bit about your child(ren's) learning style and what grade you feel they are in.(Required)See below for reference.How many years have you been homeschooling?(Required)List additional siblings under 5 years old, include names and ages (if any).Would you like to be placed on our wait list if all spots are filled?(Required)Choose OneYesNoAgreement(Required) By checking this box, I agree to abide by the Group Expectations and Guidelines in order to participate in Bright Horizons Secular Homeschool Group for the current semester.Fees(Required) By checking this box, I agree to pay the required fee and that there will be no refunds issued.
