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Learning Zone Waitlist

indicates a required answer

If you would like to submit your name to our waitlist for the 2025-2026 school year, please fill out this form. You will also be contacted about registration by the first of June 2025.
1. *

Parent Full Name
2. *

email address
3. *

Phone Number
4. *

Are you currently homeschooling?

 (1 required)
yes no
5. *

How did you hear about CHEB and Learning Zone?
6. *

Name of 1st child you wish to enroll in elementary co-op classes
7. *

DOB of 1st child you wish to enroll in elementary co-op classes
8. 

Name of 2nd child you wish to enroll in elementary co-op classes
9. 

DOB of 2nd child you wish to enroll in elementary co-op classes
10. 

Name of 3rd child you wish to enroll in elementary co-op classes
11. 

DOB of 3rd child you wish to enroll in elementary co-op classes
12. 

Name of 4th child you wish to enroll in elementary co-op classes
13. 

DOB of 4th child you wish to enroll in elementary classes
14. *

Do you have other children enrolled/enrolling in middle or high school classes with CHEB?
Yes No
15. 

Do you have other children in the home? How would that affect your ability to volunteer on Mondays?
16. 

Anything else you would like to tell us about your family?