REGISTRATION

Class Registration

* Indicates required field

Student Name *

First

Last

Parent Name *

First

Last

Phone Number *

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 Homeschool Enrichment Center-San Diego Kids Gardening Center (Temecula - De Luz) 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 * multiple classes in comment box *

Student Age or Grade *

Special Circumstances ? allergies? type Yes and explain below please *

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 *

Line 1

Line 2

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.

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

Please 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 :) *

Class Registration

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