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Interest Form

Thank you for your interest in Liberty Education! Please fill out the form below to join our interest list.

Once you're on the list you will be the first to hear about upcoming events and enrollment opportunities. 

We look forward to meeting your family soon!

All the best,

Liberty Education 

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Middle Name
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Gender
  • Work Phone
  • Cell Phone *
  • Second Parent / Guardian
    (leave blank if not applicable)
  • First Name *
  • Middle Name
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Gender
  • Work Phone
  • Cell Phone *
Home Address
  • Street Address *
  • City *
  • Country *
  • State
    *
  • Zip
    *
  • Home Phone
  • How Did You Hear About Us? *
    Details:
  • Is Calvary Chapel Chino Hills your home church?
    * Yes   No
  • Are you involved in any other ministries? Please list all ministries you serve in or are involved in at this time.
    *
  • What programs are you interested in at this time? Select all that apply.
    *
  • If interested in joining our Homeschool Co-Op, how do you see yourself serving? Select all that apply.
    *

  • How long have you been homeschooling?
    *

  • Do you plan to attend any other co-op or classes?
    *

  • Did you attend the 2026 Liberty Ed Info Meeting?
    * Yes   No
  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender *
  • Grade Level of Interest *
    School Year *
  • Current School
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •