Course Registration Form

Waxhaw Homeschool Enrichment Spring 2026 Registration Form
PLEASE FILL OUT ONE REGISTRATION FORM PER STUDENT
Student Name

First NameMiddle NameLast Name
Parent First and Last Name
Birth Date

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please List Allergies or Other Medical Concerns Here:
Will you be registering multiple children? If yes, how many? (Please fill out separate registration forms for each child.)
Student Approximate Grade Level
Parent E-mail
example@example.com
Parent Phone Number
Format: (000) 000-0000.
Parent Alternate Phone Number
Format: (000) 000-0000.
Courses

Supply Fee Due At Registration

Spring 2026 Wednesday Drop Off/ 16 Classes Total

$799 tuition will be billed after registration $50 Supply Fee Per Student Due at Registration

$50.00 Quantity

Total

$0.00

Waxhaw Homeschool Enrichment Spring 2026 Registration Form