Information Request Form

indicates a required answer

Thank you for your interest in CHC! A member of the Leadership Team will be in touch after you submit this form.

1. *	Parent's Name:

2. *	Email Address:

3. *	Phone Number:

4. *	Number of children interested in enrolling:

5. *

What grades will your child(ren) be in for the 2025-26 school year? Please select all that apply.

(1 required)

6. *	Please list the names and ages of your children who are interested in this program:

7. *	How long have you been homeschooling?