Co-Op Family Enrollment Form

1
Parent Name* This field is required.
First Name
Last Name
2
Physical Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
3
Parent Email* This field is required.
example@example.com
4
Parent Phone Number* This field is required.
Please enter a valid phone number.
5
Student 1* This field is required.
Student Name
Student Age as of the beginning of the 24/25 Cooperative year starting September 2024
Student assumed grade level
6
Student 2
Student Name
Student Age as of the beginning of the 24/25 Cooperative year starting September 2024
Student assumed grade level
7
Student 3
Student Name
Student Age as of the beginning of the 24/25 Cooperative year starting September 2024
Student assumed grade level
8
Add any additional students here.
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Large
Normal
Small
Ok
Ok
9
Attendance * This field is required.Attendance: While attendance isn't a requirement, we are only enrolling families for the 24/25 cooperative year that can commit to regular attendance. While it is understood that illness happens, we want families who are willing and able to commit to attending. Can you regularly attend one or both meetings?
YESNO
10
Parent Responsibility* This field is required.By submitting this form, I understand, acknowledge and agree that if my child is on site, I am on-site, and this is not a drop and go cooperative. Additionally, I acknowledge and agree that I am 100% responsible for my child while attending RNA Homeschool Co-op including but not limited to: watching my child, assisting them in their personal needs including but not limited to bathroom, drinks and snacks, discipline, following established rules, and not leaving my child unattended.
YESNO
11
Parent Responsibility* This field is required.By submitting this form, I understand, acknowledge and agree that I, on behalf of myself, child/ward or invited guest, am solely responsible for all damage (including repairs, replacements, and other compensation) to any facilities, church property and cooperative property.
YESNO
12
Statement of Faith* This field is required.Statement of Faith At Res Novae Academy homeschooling cooperative, we uphold the following core beliefs, rooted in Christian conservative and libertarian principles: Faith in God: We affirm a personal faith in God, recognizing His sovereignty over all creation and His grace as demonstrated through Jesus Christ. Biblical Authority: We believe in the Bible as the inspired and authoritative Word of God, essential for guiding our understanding of truth and life principles. Individual Liberty: We value individual liberty and personal responsibility, respecting the rights and freedoms inherent in each person as created by God. Family Values: We support the sanctity of marriage between one man and one woman, and the importance of family as the foundational unit of society. Stewardship: We emphasize responsible stewardship of God-given resources, including the environment, in line with principles of conservation and sustainability. Community and Service: We encourage active engagement in our local and global communities, promoting compassionate service and support for those in need. Education and Truth: We pursue knowledge and understanding through rigorous academic inquiry, grounded in biblical truth and critical thinking. Freedom of Conscience: We respect diverse viewpoints and uphold the freedom of conscience, fostering an environment where individuals can explore and express their beliefs within a framework of mutual respect. As members of Res Novae Academy homeschooling cooperative, we commit to living out these values in our interactions, studies, and contributions to our community.
YESNO
13
Co-op fees are $208 per school year per family. Families with limited financial resources are not turned away due to inability to pay. If you have a need, please reach out to me. The goal is for the community, classes & hangout for our children and parents; never financial gain. Co-op fees pay for supplies and resources only.

Payments are due on or before the 1st meeting.

Once paid, there are no refunds.

Cash is preferred, CashApp can be accepted $JenniferLudy
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