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HSM & Laude - Interest Form

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We're happy that you are interested in the SAMC Homeschool Ministry and/or Laude Homeschool Co-op.

Please complete the following information.  Once we receive your interest form, we will send you more information about the Homeschool Ministry as well as Laude Homeschool Co-op. 

We look forward to speaking with you to get to know more about your needs and let you know more about our community.
1. *

First Name:
2. *

Last Name:
3. *

Email Address:
4. *

Phone Number:
5. *

Number of Children Ages 0 - 2:
6. *

Number of Children Ages 3 - 4:
7. *

Number of Students in Grades K - 2:
8. *

Number of Students in Grades 3 - 5:
9. *

Number of Students in Grades 6 - 8:
10. *

Number of Students in Grades 9 - 12:
11. *

Please tell us a little about yourself, including your number of years homeschooling and your homeschooling methods.
12. *

Have you been a member of a homeschooling community before?  If so, please tell us about your previous experience with homeschooling communities and cooperatives.
13. *

How did you hear about the St. Anthony Mary Claret Homeschool Ministry and/or Laude Homeschool Co-op, and what about it interests you?
14. *

Would you like to speak with someone about class availability at Laude Homeschool Co-op?
No Yes
15. *

Are you a registered member of St. Anthony Mary Claret Catholic Church?
No Yes
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