Parent Name (first and last):

Contact Phone:

Email:

Are you new to homeschooling?

Has your family attended Heritage classes in the past?

If yes, when was the last academic year you attended? (ex. 2011-2012, 2012-2013, 2013-2014...)

Has your child ever been subject to any disciplinary action at a school or organization?

If you answered yes to #7, please give the approximate date(s) on which discpline was given and a description of why the disciplinary action was taken:

Please acknowledge the following:

• I have read the 2025-26 Heritage Highlights.
• I understand that Heritage operates under a statement of faith, as outlined in the handbook. Read here.
• I understand that Heritage is not a school, and a parent or legal guardian is required to remain on campus while his/her child(ren) are at Heritage. Read here.
• I understand that Heritage operates as a cooperative and I will be assigned a weekly job(s) to assist in the functioning of the co-op. Read here.
• I understand that my oldest child must be five years of age as of August 31, 2025.

Please check the box to confirm:

I understand that Heritage host facility Crossroads Bible Church (CBC) will be undergoing a major remodel during this coming academic year. Heritage will continue to run all slated classes during the remodel, and will strive to provide the best and safest accommodation possible. The non-refundable status of tuition and fees remains in effect. If you have any questions or concerns about how the remodel impacts your plans, please contact [email protected].