info@heartsathomekids.com
Contact Information
Please use the form on the right to submit your information if you would like to be added to our waiting list.

We are full for the 2012-2013 school year.

Registration Waiting List Sign-Up

*First Name:
*Last Name:
*Email:
*Phone:
( )   -
How many children do you have?
 
How many are currently homeschooled?
 
Do you currently belong to a group?
 

Please complete the fields below regarding your children.

Child #1:      
Child #2:      
Child #3:      
Child #4:      
Child #5:      
Child #6:      
By submitting this form you understand you will be added to a waiting list and may be contacted by one of our leaders should a spot become available for your family.