Homeschool Co-Op Registration Form

Homeschool Co-Op Registration Form

Please complete this form in full to register for the upcoming homeschool co-op term.

Parent/Guardian Information

Name

    Email

      Phone Number

        Home Address

          Preferred Contact Method

            • Phone

            • Email

            • Text

            Student Information

            Student Name

              Grade Level

                Date of Birth

                  Special Needs/Allergies

                    Class Preferences

                    Please select the classes your student(s) are interested in attending. Class options may vary based on demand and availability.

                      • Math

                      • Science

                      • Literature

                      • Art

                      • Physical Education

                      Volunteer Interests

                      Parent participation is highly encouraged. Please indicate any areas where you’re interested in assisting.

                        • Teaching or assisting with a class

                        • Event organization

                        • Administrative support

                        • Field trip supervision

                        Emergency Contact

                        Name

                          Relation to Student

                            Phone Number

                              Upload Supporting Files

                              Upload any relevant files, such as photos or documents

                                Additional Information

                                Please provide any other relevant information that may assist us in planning or any specific questions you may have:

                                  Parent/Guardian Signature

                                  • By signing below, I agree to participate in and support the homeschool co-op community and follow all guidelines established for the co-op term.

                                  Name:

                                  Date:

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