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Homeschool Enrichment Program (2025-2026)
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* Indicates required question
Parent/guardian name
*
Your answer
Parent/guardian email
*
Your answer
Parent/guardian mailing address
*
Your answer
Parent/guardian phone number
*
Your answer
Will you be attending with your child?
*
yes
no
Emergency contact name
*
Your answer
Emergency contact phone number
*
Your answer
Emergency contact relationship to child
*
Your answer
Child's name
*
Your answer
Child's birthdate
*
MM
/
DD
/
YYYY
Child's grade
*
Your answer
Known allergies
*
Your answer
Important information we should know about your child (medication, behavioral/emotional concerns) etc.
*
Your answer
Photo Release (permission to post pictures of your child on social media)
*
yes
no
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