Door County Homeschoolers

Registration

Parent/ Guardian Name(s)(Required)

First Last

Parent/ Guardian Name(s)

First Last

Email(Required)

Enter Email Confirm Email

Phone(Required)

Additional Phone

Address(Required)

Street Address Address Line 2 City State ZIP Code

Child's Name(Required)

First Last

Child's Date of Birth(Required)

Please select a program.

Explorers will be grouped roughly by age but primarily by skill and comfort level.

Ages 6-9

Ages 10-Preteen

Child 2's Name

First Last

Child 2's Date of Birth

Please select a program for Child 2.

Explorers will be grouped roughly by age but primarily by skill and comfort level.

Ages 6-9

Ages 10-Preteen

Child 3's Name

For additional children, please include date of birth, program selection, plus allergies in the Comments section below.

First Last

Child 3's Date of Birth

Please select a program for Child 3.

Explorers will be grouped roughly by age but primarily by skill and comfort level.

Ages 6-9

Ages 10-Preteen

Allergies

Does your child have any allergies? If so, please list them here.

Comments

Anything else we need to know? Share it here.