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Admission

Please scroll down to begin the enrollment process.

Enrollment Intake Form

Student Information

First name(Required)

Last name(Required)

Gender

Birthday

Month

Day

Year

Address line 1(Required)

Address Line 2

Address Line 3

City(Required)

State(Required)

Zip Code(Required)

School Information

Entering School Year(Required)

Entering Grade(Required)

Current Grade(Required)

Current School Name(Required)

Parent/Guardian

Parent/Guardian First Name(Required)

Parent/Guardian Last Name(Required)

Phone Number(Required)

Email(Required)

Address same as student(Required)

Yes

No

Tell us more about why you're considering Blessed Christian Homeschool for your child's education(Required)

© 2024 MykahlRaphael Creative Agency

5807 Portsmouth Boulevard

Portsmouth, Va

Hours of Operation

8:00am-3:30pm Monday Thru Friday

info@blessedchristianhomeschool.com

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