Homeschool Day Out 6-12th Grade Registration Form 2025

Homeschool Day Out Registration Form

Thank you for your interest in attending our homeschool day! Please complete the required registration below for each person that will be attending the conference. There is no cost for this event. We will be providing a Chick-Fil-A lunch for each attendee. Our K-5th grade spots are currently full, but we are still accepting registrations for 6-12th graders. We are looking forward to a fun, faith-filled educational day!
Would you like add any K-5th graders to our waitlist? *
If yes, please list out your children's names, date of births, and grades.
We will contact you if spots become available! Please go ahead and fill out all required parent info below.
Parent or Guardian Name*

First NameLast Name
Parent E-mail*
example@example.com
Mobile Number*
This parent will be attending Homeschool Day Out. (All students K-8th are required to have a parent or guardian with them)*

YesNo
Please select one of the following lunch options for this Parent/Guardian 1:*

Chick-fil-A Chicken SandwichChick-fil-A NuggetsNo lunch
Will you have a second parent/guardian attending?

YesNo
Second Parent or Guardian Name*

First NameLast Name
Parent E-mail*
example@example.com
Mobile Number
Please select one of the following lunch options for this Parent/Guardian 2:*

Chick-fil-A Chicken SandwichChick-fil-A NuggetsNo lunch
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What homeschool co-op or organization are you a part of?
How many 6-12th grade students will you be registering for this event?

Student 1
Student 1 Name

First NameLast Name
Birth Date

MonthDayYear
Student 1 Grade

Student 2
Student 2 Name

First NameLast Name
Birth Date

MonthDayYear
Student 2 Grade

Student 3
Student 3 Name

First NameLast Name
Birth Date

MonthDayYear
Student 3 Grade

Student 4
Student 4 Name

First NameLast Name
Birth Date

MonthDayYear
Student 4 Grade

Student 5
Student 5 Name

First NameLast Name
Birth Date

MonthDayYear
Student 5 Grade

Homeschool Day Out Registration Form