Tell us about your family

Please complete the form below

Last Name

Mother (Guardian) First Name

Father (Guardian) First Name

Email

Primary Contact Number

(###)

###

####

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Church Affiliation

Reference (Name and phone number of individual who has known your family for at least a year, please use any HHE member if possible)

Student(s) Name(s), Grade(s) & Birthday(s)

Subjects/Grades you prefer to assist or teach

Please Read and Check if you Accept

I understand that every application is submitted to the Board of Directors for approval. Returning families are given first availability since class size is limited. HHE is a parent-run organization, and therefore not equipped to include children who have been removed from other organizations for behavior difficulties (learning and physical disabilities are accepted). At orientation, you will be asked to sign a liability form, a statement of faith, rules and guidelines, and pay class fees for your student(s), submit a fee payable to our host church each semester, and a maintenance fee which includes insurance, first aid, battery, and tech fee. I acknowledge the above information as true and accurate.

I accept.

newfamilyapplicationform

Tell us about your family

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Hixson Home Educators - Homeschool Co-op