Waitlist for Rise Homeschool Classes 2024-2025
Please submit a non-refundable $25 Application Fee. This fee will be applied to your registration should you enroll your students in Rise Homeschool Classes.
Student Information
Student Names, Gender, Ages, and Grades on 08/01/2024
*
Schools Last Attended
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Parent(s)/Guardian(s) Information
Parent/Guardian 1
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Parent/Guardian 2
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
How did you hear about us?
*
Website
Facebook
Word of Mouth
Other
If other, please specify.
Date of Application
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: