Homeschool Student Registration Form

Homeschool Registration

Welcome, thank you for choosing Quantum Montessori School for your child’s educational needs.
Student Information
First Name*
First Name
Middle Name*
If no middle name, enter N/A
Last Name*
Date of Birth*
Last Name
What grade level is your student?
This is your student identification number. Please write it down.
What is your student's t-shirt size?
Students are asked to wear school t-shirt during all school classes and sponsored events. You will be provided with 2 shirts to start.
Are you an Influencer Family or Ambassador?*

YesNoI'm Interested in learning about joining the team!

Referrals

This is your family referral code. Receive a one-time $25 credit for every student that enrolls into one of our programs and remains active for 30 days.
This is your unique referral code. Take note.
How did you hear about us?*

FacebookInstagramYoutubeGoogleReferral (see next question)
Enter your referral code (or referrers name) here so they may receive credit the referral.

Yoga Mom & Me/Youth Yoga	$40.00 each session/per child
Online Montessori Class	$30.00 each class/per child
STEAM Classes	$40.00 each class
Floating Hearts Parenting Support	$60.00 each session

Homeschool Registration

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