Request Information

indicates a required answer

1. *	Your Name:

2. *	Email Address:

3. *	City of residence

4.	Telephone Number:

5. *	Please tell us about your children (age and grade for the 2024-25 year) and include any younger siblings that are not school aged yet.

6. *

Are you a member of a church?

Yes		Attend but not a member
Looking for a new church		No

7. *	Church to which you belong or attend:

8. *

Are you currently homeschooling?

Yes		No, but I am exploring the opportunity.
No, but I have in the past.

9. *	How did you hear about Heritage? If possible tell us the name of who referred you to us.