Wave of Hope Homeschool Enrichment Enrollment Form

Membership-Based Homeschool Enrichment Program Enrollment (8/21/26-5/14/27)

Choose the site you are Enrolling at(Required)

Legal Name (as stated on Birth Certificate)(Required)

First Middle Last

Date of Birth(Required)

Grade Level for the 2025-26 School Year(Required)

Legal Gender(Required)

Male

Female

Address (Where Student resides most of the time)(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent/Guardian Name(Required)

First Middle Last

Parent/Guardian Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent/Guardian Phone Number(Required)

Parent/Guardian Email Address(Required)

Parent/Guardian Signature (Print)(Required)

First Middle Last

Date of Parent/Guardian Signature(Required)