Homeschool & Microschool Small Group Enrollment
Enroll students in small group programs for grades 6–12. Please complete all sections below.
Program Information
Homeschool/Microschool Name
*
Program Type
Please Select
Homeschool Family
Homeschool Co-op
Microschool
Other
Primary Contact Name
*
First Name
Last Name
Email
*
example@example.com
Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Role
Please Select
Parent/Guardian
Educator
Administrator
Other
Student Information
Number of Students
*
Student Details
Schedule
Preferred Schedule
*
Mondays & Wednesdays, 9:30 AM–11:00 AM
Tuesdays & Thursdays, 9:30 AM–11:00 AM
Schedule is subject to availability and is not guaranteed until confirmed.
Program Interests
Program Interests
Music Business
Music Production
Songwriting
Audio Engineering
Entrepreneurship
Career Exploration
Leadership
Other
Goals/What do you hope to gain from this program?
Additional Comments
Confirmation
During this program, staff members will not administer medication but will provide basic first aid as needed.
*
I understand
Groups are limited to 6 students and that submitting this form does not guarantee enrollment or scheduling
*
I understand
Submit Enrollment
Submit Enrollment
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