East Texas Baptist University
    
January 7, 2009

Home School Registration

Home School Day is a FREE preview event open to all prospective high school and their families.

First Name:*
Last Name:*
Social Security Number:
Intended Major:
Gender:*
E-mail Address: (This is where your confirmation information will be sent).*
Address:*
City:*
State:*
Zip:*
Date of Birth:
Phone:*
Classification:*
Home Church:
Number of family members coming with you (mom, dad, etc. NOT including yourself)*
Please list any special needs. (dietary or otherwise)
How did you hear about Home School Day?*
All fields marked with an asterisk (*) are mandatory.
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