Student First Name *

Student Last Name *

Date of birth *

Grade *

Parent/Guardian First Name *

Parent/Guardian Last Name *

Email *

Phone *

You can include additional children you are considering enrolling below

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.

What type of education does your child participate right now? *

What services are you most interested in at Wagyumama Schoolhouse? *

Microschool (Ranch days and Academics)

Ranch Days

Tutoring

How did you hear about us? *

Referral Source

The following questions help us gain a better understanding to best serve you and your family.

Has your child been homeschooled before? *

How long have you been considering homeschooling? *

How serious are you about homeschooling your child(ren)? *

What major concerns do you have right now with your child's current education? *

Does your child participate in any extracurricular activities? *

If so, what type?

Does your child have an IEP or 504 Plan? *

Is there additional information we should know about your family and children before scheduling a call? *