Family Registration Form

FAMILY REGISTRATION FORM

Thank you for your interest in the New Lebanon Homeschool Guild. By submitting this form, you will create an online account through our website. This will give you access to course selection when it is available as well as notifications of any upcoming open houses or registration dates.

If you have previously registered, please login to your account:

Family Name

Username *

Password *

Guardian First Name

Guardian Last Name

Email *

Phone Number

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Emergency Contact Person

Emergency Contact Phone Number

Names of Students

Student Name

Birthdate

Grade level in the fall

Allergies, Dietary Restrictions and Other Notes