Enlightened Minds Waitlist Form - Enlightened Minds Homeschool

Name *

First

Last

Email *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Please enter the number of participants in grades Pre-K – 8th

Enter the number of children in the box above to adjust the fields below.

Child Name *

First

Last

Select the group the above child will participate in:

Note that 5th graders have a selection between two groups.

Child Name

First

Last

Select the group the above child will participate in:

Note that 5th graders have a selection between two groups.

Child Name

First

Last

Select the group the above child will participate in:

Note that 5th graders have a selection between two groups.

Child Name

First

Last

Select the group the above child will participate in:

Note that 5th graders have a selection between two groups.

What are you interested in:

Please note it will cost approximately $500 per child to participate for Tuesday & Thursday classes, which includes Spanish and supplies. This form will put your family on our list, however, you will not have a secured spot until payment is remitted. Please reach out and let us know if you have any questions or concerns!

A reminder that we are not a drop-off program and ask that parents please plan to help their children when/ if needed, especially in the younger ages.

Thank you for being a part of our community! We are excited to come together each week for learning and fun!