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HOMESCHOOL REGISTRATION and PAYMENT

DIRECTIONS: Complete all required fields* and click the "Submit" button at the bottom of this form. 

If you prefer to mail us your registration, click the "print" button in the upper right corner of this page, complete the form and mail it to:

   Advent Home Learning Center, Inc.
   Homeschool Online
   900 County Rd. 950
   Calhoun, TN 37309

PAYMENT: After you submit your information, a "Thank You" page will open with a Paypal button that you will use to pay your registration fee. After we receive your payment, information explaining how to select and log into your courses will be emailed to you.

If you mail the registration form to us, please include a check for the fee amount. Or, you may ask us to call you and process your credit card by phone.

STUDENT
*  Required

PARENT or GUARDIAN
* Required
* First Name   


* First Name   
* Last Name   


* Last Name   
* Street Address   


* Street Address    
Apartment/Unit #   


Apartment/Unit #   
* City   


* City   
* State   


* State   
* Zip Code   


* Zip Code   
* Home Phone   


* Email Address   
* Date of Birth   


* Home Phone    
* Gender   
MALE FEMALE

Cell Phone   
* Name of Last   
School Attended   


* Work Phone   
* School Phone   


* Name of   
Employer   
* Last Grade   
Level Completed