Independent Education Program Interest Form 2024-2025
We're excited to get to know you! Submitting this form will put you on our email list to receive class and registration information for the 2024-2025 school year. Filling out this from DOES NOT put you on a waiting list or guarantee you a spot in any particular class. Registration is done on a first come, first serve basis after registration opens. Feel free to reach out to us with questions any time at admin@ieprogram.org.
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Age(s) of the child(ren) for whom you are interested in classes?
*
Program(s) in which you are interested?
*
Speech and Debate
English
Business and Entrepreneurship
Constitution and Moot Court
Robotics
Which would you prefer?
*
In Person
Online
Either
Anything you want us to know?
Submit
Should be Empty: