Home School Enrichment Interest Form

Home School Enrichment Interest Form

Let us know your family's interest in home school enrichment opportunities.
Parent/Guardian Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
How many children would participate?*
Please list the grade levels or ages of your children (separate with commas)*
Which enrichment areas are you interested in? (Select all that apply)*

STEM (Science, Technology, Engineering, Math)Arts & CraftsMusicPhysical Education / SportsLanguage ArtsForeign LanguagesSocial StudiesOther
Preferred days for enrichment activities

MondayTuesdayWednesdayThursdayFridayOther
Preferred times for enrichment activities

MorningAfternoonEveningOther
Anything else you'd like us to know?
Should be Empty: