2023-2024 Homeschool Classes by Subject 
*All new students are admitted on a 4 week trial basis.  Full admission will be granted after the trial period.
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Student Name *
Date of Birth *
MM
/
DD
/
YYYY
Grade *
Please tell me your academic goals for this school year
Parent/Guardian Name *
Parent/Guardian E-mail *
Parent/Guardian Phone Number *
Address *
County *
Subject Options *
Required
Payment Option and Agreement *
*Monthly Payments are non-refundable, Rate is locked for the school year once registered and first payment is received.

**For 4 Subjects or more Please Contact Us for our Full Homeschool Program Information**
If using Family Empowerment Scholarship, please provide scholarship ID number.
Hold Harmless Agreement
I agree to unconditionally release and to hold Int. Home Education Learning Center LLC, it’s agents, employees, officers, volunteers, directors or independent contractors, harmless for any and acts or omissions which may, at any point during the span of this agreement, be alleged to cause harm, of any nature, to the student.

THIS RELEASE IS A MATERIAL PROVISION OF THE AGREEMENT AND BOTH PARITES ENTER THIS AGREEMENT IN RELIANCE UPON IT AND WITHT THE FULL UNDERSTANDING THAT INT. HOME EDUCATION LEARNING CENTER SHALL BE IN NO WAY LIABLE FOR ANY ACTS OF NEGLIGENCE OR ACTS OF ANY KIND, NOR ANY DAMAGES IN TORT WHATSOEVER, TO CLIENT, NORT TO ANY THIRD-PARTY BENEFICIARY OF THIS AGREEMENT CLIENT FURTHER AGREES TO HOLD INT HOME EDUCATION AND LEARNING CENTER HARMLESS FOR ANY ACTIONS BY CLIENT’S STUDENT WHICH MAY CAUSE HARM TO A THIRD PARTY. IN THE EVENT A CONTRACTUAL CLAIM BROUGHT AGAINST INT. HOME EDUCATION LEARNING CENTER BY CLIENT, CLIENT AGREES TO A LIMITATION OF LIABILITY AGAINST INT. HOME EDUCATION LEARNING CENTER LLC.

The undersigned parent or guardian gives permission for their child to participate in all activities associated with participating in classes, virtual classes, co-ops or social events at Int. Home Education Learning Center. The undersigned further agrees to hold Int. Home Education Learning Center, it’s agents, employees, officers, volunteers, directors or independent contractors, harmless from all losses, cost and expense of whatever kind or nature which may arise from any activities of Int. Home Education Learning Center LLC.
Signature
Please type your full name as a signature that you agree to the payment agreement and the Hold Harmless agreement.
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