Register for Deeply Rooted Action Academy

About Deeply Rooted Action Academy

I am just a Mama with a Passion for Changing the Educational Paradigm for my children and their friends. Deeply Rooted Action Academy is the name of our Homeschool. We believe it's important for youth to:

Love Learning, Be Passionate, commit to Self and Others, and Take Action!

I am here to help support a Paradigm Shift in our educational system because all children deserve to have tailored learning experiences that best suit them.

Have you heard of the Sudbury Method? It's an Unschooling private school that has been running for 40+ years! They have helped 60+ schools get going. Check it out at sudburyvalley.org.

I am starting an Unschooling Private School. I have contacted Sudbury to gain knowledge of their best practices after working with many children, ages 4-17, over the last 40+ years. I’ve asked what's needed to get the foundation of the school, and what’s made them successful for so long.

As a start, I'm getting this 5 Day per Week Hybrid Drop-Off program started out of my home. This is a Self-Directed, Independent, and Safe learning environment.

We will take the time to create Individualized Educational/Life Plans, and together as a community we will work towards meeting their goals. Their voice, their ideas, and their passion projects ARE the future. They need all the support they can get, especially with the changes in the world today.

I am here to support them, but I am here to support you too. Reach out with any questions, at any time. Me to You, I GET YOU. You are NOT alone on this journey.

Registration Form

Fill out the form carefully for registration. This information will help us to keep records for the children in our care.
Student Name

First NameMiddle NameLast Name
Age?
Birth Date

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardians Name

First NameLast Name
Parent/Guardians Name

First NameLast Name
Adult Email
example@example.com
Student E-mail
example@example.com
Mobile Number
Format: (000) 000-0000.
Phone Number
Format: (000) 000-0000.
Phone Number
Format: (000) 000-0000.
Work Number
Format: (000) 000-0000.
Company
Emergency Contact Name
Emergency Contact Number
What are your childs desired topics to learn?
Additional Comments

Medical Form
Does your child have any food, medication or environmental allergies?
Please list and explain any allergies
Significant Medical History (surgery, injuries, serious illness):
Is any medication required?
List any medication taken regularly:
In an emergency does this child require additional assistance (more than other children of the same age or in the same group) to evacuate?
I consent to the following administration: sunscreen - topical product or lotion, exact dosage: liberal application per exposed area, to be administered: before high sun exposure.

Permission to Transport

I give permission for my child to be transported by Corine Love, or hired/volunteer help on behalf of Village Services LLC, or Deeply Rooted Action Academy for educational or emergency reasons.
Permission to Transport
I understand that if I choose "No" for transportation, then I will be responsible for transportation to event/activity. If I choose to not transport my child, I will not get a refund for not attending. I also understand that if transportation is needed, I will be required to be on time or my child may miss their ride. I do not hold anyone liable for any accidents while they transport my child. I will inform the caretakers if my child needs special car seats or boosters.
Does your child need a car seat or booster? Please tell us which type they use below.

Registration Form

Medical Form

Permission to Transport

Activity Waiver Form

Options for Classes - I am open to trade, but need to cover some cost! Please reach out and talk to me, you never know if you don't ask.

Registration Form

Medical Form

Permission to Transport

Activity Waiver Form

Options for Classes - I am open to trade, but need to cover some cost! Please reach out and talk to me, you never know if you don't ask.*

Options for Classes - I am open to trade, but need to cover some cost! Please reach out and talk to me, you never know if you don't ask.