REGISTRATION

KGC Class Registration

* Indicates required field

Student Name *

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Last

#2 Student Name *

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Last

You can register up to 3 students per registration. If you would like to register more, please fill out another registration page

#3 Student Name *

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Last

Emergency Contact /#2 Parent Name *

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Last

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Emergency Contact Phone Number *

Parent Name *

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Last

Parent Phone Number *

Charter Homeschool Teacher *

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Last

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Class Location(s): If more than one location please explain and list the classes in the box below. *

Father’s Farmhouse- Winchester (Murrieta) Homeschool Enrichment Center - Redlands Homeschool Enrichment Center - Riverside Kids Gardening Center (Temecula - De Luz) Homeschool Enrichment Center-San Diego Bourns Youth Innovation Center Private Location ( please submit location address in the next box) Woodcrest Library Other

Private Class Location Address *

Woodcrest Library Bourns (BFYIC) F.I.A.T.M. The Annex Learning Place Homeschool Enrichment Centers Private Host

Class Title *

Class Day & Time * add additional classes in comment box *

Student #1, #2, #3 Ages *

Special Circumstances ? Behaviors? Medical Conditions? explain below please *

If there are any conditions you would like us to know about your student please write them here. We will contact you if we feel clarification is necessary.

Charter affiliation or Other- Please check one *

PSA (Private School Affidavit) OOP (Out of Pocket) Co-Op/Group/ Business/ Organization/ MVA (Mission Vista) CPA ( Cabrillo Point) PCA (Pacific Coast) Ilead Sage oak Granite Mountain Springs Sky Mountain Suncoast Preparatory Academy Elite Excel Compass Blue Ridge Homeschool Coaches Freedom SoCal Scholars Gorman Taylion *Other

Address *

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City

State

Zip Code

Country

Please list you address or city to help us better place your student in a class closet to your area. We have a 65 mile limit that we are able to travel for private classes from Riverside, 92508.

Parent Email *

Homeschool Teaching Status- Parent *

Seasoned 7 + yrs Pre- seasoned 3-7 yrs New 1-3 yrs Newbie 0-1 year Not Yet

Would you like information about: *

Homeschooling / Charter Schools Current Events, Fairs, Workshops, Camps Community Garden Days & Locations Sip n Seeds, Tea Garden Parties How to Host a Class in your area Collaborate with KGC Advertising on our webpage

Upload P.O., Purchase Order, Enrichment Certificate proof here if already recieved *

Max file size: 20MB

If you have received your purchase order from your charter before you registered here, please upload it here or a snapshot of your pending approval order if you already have obtained it as well. This is not required when registering, but if you have this information pre-registration, please upload it here for a easier registration process :)

COOKING CLASSES & (All KGC students on Campuses):please list all allergens and students extreme dislikes or type N/A *

We cannot accommodate all allergens, likes and dislikes but we allow all students to participate and learn in class. Students with severe allergens will not be able to eat any foodrecipes created in class with their allergens. As far as dislikes, we do our best to have recipes students will enjoy. Some classes that arent titled “cooking” may have cooking in them. Please be sure to list your child’s allergies here even if the title doesn’t state cooking.

Please fill out a registration form for each class or list additional classes here and any comments, concerns or questions *

Please list you class choice, location and time here. You will be contacted within 48 to confirm your space in class. Once your space is confirmed please order your class with your Charter Affiliation or place your payment through our payment options. Thank You.

KGC Review (We Listen! Please let us know how we’re doing, what we can improve and what you love about KGC :) *

KGC Class Registration

Please Call or Text (951)776-6971 for Registration Portal Issues.