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Lakebridge Homeschool Registration
Please Inquire
Before Completing Registration Form
Child’s name and age
Parent/Parent’s names
Parent/Parent’s phone numbers
Parent/Parent’s Email
Does your child(ren) have any allergies, dietary restrictions, or special considerations that we need to be aware of?
Do you give photo release for our private Facebook family group?
*
Required
Yes
No
Do you give photo release for public social media sites such as Instagram, Facebook, and our website?
*
Required
Yes
No
Which day/days would you like to enroll your child/children? *
Monday & Friday Nature School (ages 8-14)
Monday ONLY Nature School (ages 8-14)
Friday ONLY Nature School (ages 8-14)
Monday & Friday Early Learning Pod (ages 5-7)
Monday ONLY Early Learning Pod (ages 5-7)
Friday ONLY Early Learning Pod (ages 5-7)
Agile Learning Afternoon Fridays (ages 8-17)
Emergency contact information (please add name and info for someone to contact if parent or parents cannot be reached)
Street Address
City
Region/State/Province
Postal / Zip code
Submit
Thanks for submitting!
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