Form
Mother's Name (required)
First Name
Last Name
Father's Name (required)
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Mother's Phone Number
Please enter a valid phone number.
Father's Phone Number
Please enter a valid phone number.
Child's Name (required)
First Name
Last Name
Child's Age
My child is:
A boy
A girl
What grade will your child be in when attending Summerland Schoolhouse?
Please indicate your child's current learning environment?
Please Select
Homeschool
Private School
Public School
Preschool
Virtual school
Other
What questions do you have about Summerland Schoolhouse?
What are your child's strengths and interests?
Does your child have any learning challenges we need to take into consideration?
Are there any concerns or hesitations you would like Summerland Schoolhouse to know about?
How did you hear about Summerland Schoolhouse?
Please Select
Facebook
Family/Friends
Google Search
Homeschool Groups
Other
Submit
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