Georgetown Homeschool Group - Preregistration Form

Preregistration Form

Preregistration for 2010-2011 Educational Year

In order to anticipate class sizes, please submit your contact information on the form below. Your information will be sent to the Group's Director, who will be able to answer any questions you may have. Please complete and submit one form for each student.

After the form is submitted, you will be returned to the Home Page.

Parent's First Name:
Parent's Last Name:
Address Street 1:
Address Street 2:
City:
State:
Zip Code:	(5 digits)
Home Phone:
Alternate / Cell Phone:
Email:
Student's Name:
Student's Age:
Student's Grade:
Comments or additional child information:	Please enter comments here.

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