5th-8th Grade Class Registration Form
Through Alaska Homeschool Classes, for the 2019-2020 school year.

Please use this registration form if you would like to sign-up for the whole school year, and if you want to select more than one (or all) core classes: Language Arts, Social Studies, Science and Math.

If you have any questions feel free to contact Tiffany Dennis at at lighthouselearningak@gmail.com.
Student first name *
Your answer
Student last name *
Your answer
Student's birthday *
MM
/
DD
/
YYYY
Student's grade *
Parent #1: First & Last Name *
Your answer
Parent #1: Relationship
Your answer
Parent #1: Phone Number
Your answer
Parent #1: Email Address
Your answer
Parent #2: First & Last Name *
Your answer
Parent #2: Relationship
Your answer
Parent #2: Phone Number
Your answer
Parent #2: Email Address
Your answer
Mailing Address *
Your answer
Home Address
Your answer
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