The Nesting Place Homeschool Enrichment Center

Enrollment Form

Thank you for your interest in our drop-off homeschool enrichment program for grades K–2. Please complete this form to begin the enrollment process.

Section 1: Parent / Guardian Information

Parent/Guardian First Name

Parent/Guardian Last Name

Email Address

Phone Number

Home Address

Country/Region

Address

City

Zip / Postal code

Preferred Method of Communication

Email

Phone

Text Message

Section 2: Student Information

Child's Full Name

Please enter your child's complete legal name

Date of Birth

Month

Day

Year

Grade Level

Pre-K

Kindergarten (K)

1st Grade

2nd Grade

3rd Grade

4th Grade

Homeschool Status Confirmation

Yes, my child is homeschooled

No, my child attends traditional school

Please confirm that your child is currently being homeschooled

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