Registration

MAKE KIDS! homeschool registration form

* Indicates required field

Child's Name *

First

Last

Age *

Grade as of September 30, 2023 *

Parent/ Guardian 1 Name *

First

Last

Parent /Guardian 1 Address *

Line 1

Line 2

City

State

Zip Code

Country

Parent/Guardian 1 Phone Number *

Parent/Guardian 1 Email *

Emergency Contact Name and Numbers (other than parent listed) *

Allergies and Medical *

Chose all that apply: *

Elementary Homeschool Art 11 a.m. Middle School Art 3:00 p.m. High School Art 3:00 p.m.

Submit