Parent or Guardian full Name
* required
Parent/Guardian daytime
phone number
* required
In what city and state do you reside?
* required
Parent email, to receive a response:
* required
Student Name and Current Age:
* required
Please select one, which grade level is relevant for your learner?
Junior Grade, ages 4-6
Upper Elementary, ages 7-10
Middle School, ages 11-13
High School, ages 14-18
In which type of curriculum emphasis are you interested?
Christian
Classical Education
Customized Curriculum
Accelerated Academics
In which types of enrichment education is your student interested?
STEM (Science Tech, Enginering, Math)
Arts and Crafts
Leadership Development
nature immersion, biology
other, please describe in comment section
Why are you interested in alternative, gifted education
for your learner (primarily)?
Has your learner ever attended a BLC program, workshop or shadow day?
Yes
No
If yes, please tell us the name of the program your learner attended:
Do you have a question or a comment?
Where did you hear of Baywood Learning Centers?
* required
Please be ready to write down the information
that will appear in the next screen after you hit the submit button.
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