Homeschool Adventures Class Pre-Registration
Student Name
*
First Name
Last Name
Grade
Additional Student Name (if applicable)
First Name
Last Name
Grade
Additional Student Name (if applicable)
First Name
Last Name
Grade
Additional Student Name (if applicable)
First Name
Last Name
Grade
Additional Student Name (if applicable)
First Name
Last Name
Grade
Parent/Guardian Name
*
First Name
Last Name
E-mail
*
Cell Phone Number
*
-
Area Code
Phone Number
Please Select the Class(es) You Would Like to Register For Below!
Please also select the grade level of each class as well!
Electricity Class
Please Select
K-2nd Grade
3rd-5th Grade
6th-8th Grade
If registering more than one student in different grade-ranges, please just select one grade range in the drop-down box. Please make sure and put the appropriate grade under the student's name in the above section.
Physical/Chemical Changes
Please Select
K-2nd Grade
3rd-5th Grade
6th-8th Grade
If registering more than one student in different grade-ranges, please just select one grade range in the drop-down box. Please make sure and put the appropriate grade under the student's name in the above section.
Class Selection
*
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Homeschool Adventures: Electricity
$
15.00
How Many Students Will Be Attending?
1 Student
2 Students
3 Students
4 Students
5 Students
Homeschool Adventures: Physical and Chemical Changes
$
15.00
How Many Students Will Be Attending?
1 Student
2 Students
3 Students
4 Students
5 Students
Enter coupon
Apply
Total
$
0.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
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