Natomas Homeschool Alliance | Online Registration

Please enter information for the person(s) primarily responsible for the account (usually the person primarily responsible for homeschooling the child). You can list both parents or both grandparents, etc. on this page. If a grandparent or other adult is the primary on the account, additional adults such as parents can be added in a later step.

Personal Info

Required fields are denoted by *--. You are in the Personal Info section. Continue to tab below to start reading or entering your information.

* What best describes your relationship to this account?(This is the adult who manages this account)

* First Name(s) (e.g. John & Tiffany)(Parent first name or names)

* Last Name

Emergency Contact

* Username

* Password(minimum 8 characters)

* Confirm Password

Must contain an uppercase, three lowercase, a digit and a non-alphanumeric character (e.g. $ @ # %). Example "Abbbxx1#".

* Home/Main Phone(ex: xxx-xxx-xxxx)

Work Phone

ext.

Mobile #1 (Primary contact)

Mobile #2 (Secondary contact)

* E-mail

Insurance Carrier

Insurance Policy Number(Family policy number, if any)

Student's Physician

Physician Phone

Primary Address

--. You are in the Primary Address section. Continue to tab below to start reading or entering your information.

* Country

* State/Province/Region

* Address Line One

Address Line Two

* City

Postal Code

* Address Type