2026-2027
Program
Registration

Please complete the information below to enroll in the GFLC hybrid homeschool program.

Enrollment Application

Primary Contact First Name

Primary Contact Last Name

Phone

Family Role

Street Address

City

Postal / Zip code

Additional Contact Parent/Guardian First Name

Additional Contact Parent/Guardian Last Name

Phone

Family Role

Please describe your family's religious beliefs and affiliation.

Do you regularly attend a local church? *

Yes

Church name

For each child being enrolled, please list the following: NAME, DATE of BIRTH, AGE, GENDER, and GRADE LEVEL

Select which day(s) to attend: * Required

Monday

Tuesday

Wednesday

Thursday

Friday

Please describe your child's interests and dislikes.

How do you hope for your child to grow through their time at Grace Family Learning Center.

Briefly describe your approach to parenting and discipline.

Describe any medical, behavioral, or other special coditions related to your child.

List any known allergies.

List any medications that your child takes.

Emergency Contact First Name

Emergency Contact Last Name

Phone

Are there any custodial or other legal agreements involving the enrolling students? *

Yes

I agree to the terms & conditionsView Policies and Waivers

Your Signature

Thank you for enrolling! We'll contact you with more information soon..

Grace Family

Learning Center

PO Box 1651

Clayton, NC 27528

info@gracefamilylearningcenter.org

919-200-0465

Links

About

T erms and Conditions

Contact

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2026-2027 Program Registration

Enrollment Application

2026-2027
Program
Registration