Registration Form

We’re so glad you’re here! Completing this form is the first step to joining Lumen.

Please take a minute to fill out this form.

Parent/Guardian Information

Parent/Guardian Full Name *

DOB *

How did you hear about us? *

Phone *

Email *

Street Address *

City *

State *

Postal code *

How long have you been homeschooling? *

Student Information

Student 1 Full Name *

Student 1 Date of Birth *

Our classes are combined. Please select your child's grade level group. *

Student 2 Full Name

Student 2 Date of Birth

Student 2 Grade level

Student 3 Full Name

Student 3 Date of Birth

Student 3 Grade Level

Student 4 Full Name

Student 4 Date of Birth

Student 4 Grade level

Participation Preferences

Our community thrives because of the partnership we share with our families. We strive to keep volunteer commitments manageable while creating meaningful opportunities for parents to be involved in our learning community. We ask each family to volunteer at least 8 hours per semester. Please select the areas where you would be interested in serving.

Roles to serve during class: *

Teacher: Teach a one-hour class for 3–4 consecutive Fridays. Curriculum is provided. Plan lessons and communicate with families through BAND.

Guide Assist the teacher by preparing materials, staying organized, and helping students during class.

If you chose 'Other,' we’d love to hear more! How would you like to serve?

What age group or subject are you interested in teaching?