Family Application 24/25

Grace Co-op | Family Application

2024/2025 school year
Parent/Legal Guardian Name

First NameLast Name
2nd Parent/Legal Guardian Name (optional)

First NameLast Name
Email
example@example.com
Cell: Phone Number
Please enter a valid phone number.
Home: Phone Number (optional)
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Information
Emergency Contact: Name

First NameLast Name
Emergency Contact: Relationship
Emergency Contact: Phone Number
Please enter a valid phone number.

List the first and last names of the children you wish to enroll.

	Child's First and Last Name	Age (in September of 2024)	Grade	Gender
Child (1)
Child (2)
Child (3)
Child (4)
Child (5)
Child (6)

Do any of your children have allergies to food or medication? Please list all allergies and indicate which child has the allergies.
New Family Personal Information and Background

If you are a returning family, leave this section blank.
Please share some of your religious background and a personal testimony.
Which local church are you attending? If not, please explain why.
What is your primary reason for enrolling your family?
Where did your family attend school last year? Please include public/private schools, co-ops, charters, homeschool, etc...
Volunteer Requirement

In order for your application to be approved you must select one of the following options.
Choose one of the following options?*

Volunteer in nursery 2 days a week (100% discount, *application required)Teach a class 2 days a week (100% discount, *application required)Help in a class 2 days a week (50% discount, *application required)Teach one 7-week elective class (Wednesdays, 11:30am-12:30pm *application required)Teach elective classes all year long, one each 7-week session (50% discount *application required)Drop off and volunteer 8 days (Any day, 9:00am-11:30am)
Parents and children are expected to read and understand our Policy Handbook.

By signing this form you are committing to abide by and support our values.
FAMILY COMMITMENT TO THE POLICY HANDBOOK

I and my students have fully read and understand the policy handbook and will wholeheartedly submit and support the standards discussed in them. I commit myself to the success of this program and will strive to be a positive participant. I understand that my violation of these policies may result in expulsion from the program without refund and commit to deal honestly and respectfully if any difficulty arises during my involvement.
Electronic Signature *

Clear
Do you understand and agree with a biblical approach to education and will you support the use of creation based/religious curriculum?*

I agree and support the curriculum.I do not think it is necessary.
Payment options

Once your registration is complete and your enrollment has been secured, you will receive an invoice for your balance due.
Please select one of the following payment options*

Pay in full (Due August 31)Make 4 payments (Aug, Sept, Oct, Nov)
Should be Empty:

Grace Co-op | Family Application

Emergency Contact Information

New Family Personal Information and Background

Volunteer Requirement

Parents and children are expected to read and understand our Policy Handbook.

Payment options