JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Class Registration
Event Timing: Weekly Virtual Classes (time, day, and start date TBD)
Event Address: via zoom - 14 classes
Contact us at
discerntolearn@gmail.com
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Parent Name
*
Your answer
Parent Email (gmail preferred)
*
Your answer
Home Address
*
Your answer
Student Name
*
Your answer
Student email if applicable (gmail preferred)
Your answer
Student "grade"
*
Your answer
Are there any learning differences I should be aware of?
Your answer
When is your student NOT available?
*
Your answer
When do you prefer to start classes?
*
As soon as possible
Before Christmas
In January
Would you be interested in adding extra weeks to the end of this course making it longer than 14 weeks?
*
Yes
No
Other:
When in the spring do you need this course to be finished by?
*
Doesn't Matter
End of May
End of June
Other:
Next
Page 1 of 3
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms