Hands In
Motion
Class Registration  
                      Please complete a separate registration for any siblings enrolling.

 Child's Name:

 Parent's Name:

 Home Address:
  (w/city)

 Phone                                                                                               

 Parent Email                                                                                                                                                   
Do you belong to a Charter                        If so which one?  

Supervising Teacher 

Teacher Email                                                       Phone:

Child's Grade                                     Gender

Does your child have any physical or learning needs?                
Classes you would like to attend:
Please list the classes you would like to attend in the box below. (include days/times)

        Class                                   Day                              Time
It is the parent's responsibility to know their charter's requirements regarding supervision.


Please indicate T-Shirt size 
PROMO CODE
How did you hear about us?
If your child has medical or learning needs that we need to be aware of please let us know below.
I have read and agree with HIM Code of Conduct
Please type 'YES'  in the box.  You may review
our Code of Conduct on the link to the left.
After Submitting you will be re-directed to complete Registration Fee
$20/per student or $35/per family (up to 4)  Registration is not complete until fee has been received or other arrangements have been made
Any questions, please contact us.  916-412-4331  or HandsinMotionHomeschool@gmail.com