E-Registration
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Welcome to our Electronic Registration

Please note, this is not a secure form. For security purposes, the results of this form will be emailed directly to Shanan Home Education (office@shanan-online.org).  We will not maintain any registration information on the website to minimize the risk of the information being mishandled or compromised.

After you have filled-out this form you will be given the option of continuing to a class sign-up form.

Mother's Name: First - Last -
Father's Name: First - Last -
-
Address:
City/State/ZIP:
Phone Numbers (xxx-xxx-xxxx):
Home Cell
Work Emergency
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Email:
-
Status: Willing to be Hall Monitor:
-
Child(ren)BirthdayAgeGrade
Agreement for electronic registration - Part II of the hard-copy registration form includes agreement to abide by Shanan Home Education policy, registration and tuition payments, and parental responsibility for complying with Virginia Homeschool regulations. Please be sure to sign that portion of the registration form (with at least one parents name filled-in on the top of the form) on or before the beginning of your child's first class.
Agree: