Pompano Beach HOLD Registration 2020-21
Pompano Beach Registration 2020-21
Last Name *
Your answer
Parents' First Names *
Your answer
Student's First Name *
Your answer
*
Student Date of Birth *
MM
/
DD
/
YYYY
Allergies/Medical Conditions *
Your answer
Email Address *
Your answer
Home Phone Number *
Your answer
Cell Phone Number *
Your answer
Should we need to reach you during HOLD, which number is best to reach you? *
Street Address, City and Zip Code *
Your answer
Are you a returning HOLD family? *
If you are new to HOLD, please list any families you know who attend HOLD *
Your answer
Are you requesting placement in the morning session? *
How long have you been homeschooling? *
Your answer
Please list any homeschooling support groups you and your family are involved in *
Your answer
What local church do you attend? *
Your answer
Does your child have any siblings? What are their ages? *
Your answer
Any additional comments:
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