Private Homeschool Coaching Request Form
Sign in to Google to save your progress. Learn more
Email *
First and Last Name *
Phone number *
Address *
Are you currently homeschooling? *
If yes, how long have you been homeschooling?
If no, what type of school do your children attend? *
Why do you homeschool or want to homeschool your child(ren)? *
How many children are in the home and what are their ages? *
Name, age, and grade for each child you are or will be homeschooling *
Describe your support system. Do you have supportive spouse/partner, family members, or friends? Co-op, online community? *
Do any of your children have any challenges or special needs? If so, please describe below. *
How would you describe your homeschool style or approach to education? (Ex. classical, child-led, interest-led, literature rich, project based, traditional, eclectic, etc.) *
What would you MOST like to get out of our coaching session? *
If time permits, what other homeschool-related topics would you like to discuss during our call?
Is there anything else you'd like to share with me about yourself, your child(ren), or your current circumstances in preparation for our time together?
Once our session is scheduled, 24hr notice is REQUIRED for all cancellations. Cancellations with less than 24hr notice will receive a 50% refund. No show, no refund. You may reschedule your session anytime prior to the 24 hour cut-off. *
How'd you hear about us? *
If referred by a member, who can we thank for referring you?
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy