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!
Visit our Influencer website for more details.
How many students are you registering today (total)?
Student 2
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?
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.
This is your student identification number. Please write it down.
Student 3
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?
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.
This is your student identification number. Please write it down.
Student 4
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?
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.
This is your student identification number. Please write it down.
Student 5
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?
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.
This is your student identification number. Please write it down.
Student 6
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?
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.
This is your student identification number. Please write it down.
How many siblings would you like to register?
Sibling 1
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?
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.
This is your student identification number. Please write it down.
Sibling 2
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?
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.
This is your student identification number. Please write it down.
Sibling 3
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?
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.
This is your student identification number. Please write it down.
Sibling 4
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?
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.
This is your student identification number. Please write it down.
Sibling 5
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?
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.
This is your student identification number. Please write it down.
Sibling 6
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?
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.
This is your student identification number. Please write it down.

Guardian/Educator Information
First name*
Last name*
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Number*
Please enter a valid phone number.
Relationship to Student*

Referrals

This is your family referral code. Receive a one-time $100 credit for every student that fully enrolls into one of our programs and remains active for 60 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.

Meal Options

Freach. Healthy. Child-Approved
Quantum Montessori School is committed to walking the talk with our families. Our school has partnered with local businesses, organic food vendors, and mineral water vendors to provide our students with healthy meals every day during the school year. The school will deliver fresh prepared, healthful pre-packaged meals and bottled mineral water to each student on a regular schedule. The cost of this service is covered by tuition. Upon enrolling, you will receive more information about this service and instructions on how to use it.

Unfortunately, we cannot accommodate students from Alaska and Hawaii at this time. The search is on for options to make this dream a reality for all students.

Our goal is to provide families with what they need, because we understand that parents are busy. Additional food and water can be ordered to be delivered along with the students if there are children at home who do not attend Quantum Montessori. Please fill out the form below to let us know your intentions.
Would you like your child to receive lunch and snacks from the school and our partners?*

YesNo, opt-out

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Homeschool Registration

Student Information

Student 2

Student 3

Student 4

Student 5

Student 6

Sibling 1

Sibling 2

Sibling 3

Sibling 4

Sibling 5

Sibling 6