Contact information
TK - 12 Application
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We are no longer enrolling for the 24/25 school year. This application is for the 25/26 school year. *
What will be the student's grade level starting in Fall 2025?
Student Name *
Student Birthdate *
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Current Grade
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Parent Name *
Email *
Address *
Phone number *
School Last Attended *
How did you hear about HomeTech?
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Is there anything else you'd like us to know?
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