HTM Application Step Two
Parent One
Name*
First
Last
Email*
*
Phone*
*
Parent Two
First Name
Last Name
Phone Number
Names & Birthdays of Children (Due Date if Expecting)*
*
How did you hear about us*
*
Have you already begun a program at home to teach your child?*
*
Yes
No
Share your family, occupations, interests, pursuits & goals*
*
Consent*
*
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I understand my information will never be rented/leased/sold. I consent to being kept up to date about the Institutes via email. I understand I can opt-out out of these emails via the link in the email footer. I consent to be contacted via the phone with the number I have provided above.
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