• Dream Big

    Dream Big

    Homeschool Co-op
  • Information of Child

  • Birth Date
     - -
  • Information of Parent

  • Format: (000) 000-0000.
  • Emergency Contact 
    Please list someone other than the guardian completing this form.

    In the event of an emergency, please contact:

  • Format: (000) 000-0000.
  • Medical Information

  • Photo/Video Consent

  • I grant permission and give my consent to Dream Big LV Kids Homeschool Co-Op for the use of the any and all photograph(s), video, or electronic media images as identified below for presentation under any legal use including but not limited to; copyright purposes, advertising, publicity, and web content.

  • Release of liability

  • The undersigned hereby assumes all risk of injury or harm as a result of the activities specified above and agrees to release, indemnify, defend, and forever discharge the releasee from all liability, claims, demands, damages, costs, expenses, and causes of action due to death, injury, loss, or damage to the undersigned. The Dream Big LV Kids homeschool co-op will take place at 6824 Toros St. N. Las Vegas, NV 89096. The undersigned understands the risks, activities and responsibility of voluntarily taking part of Dream Big LV Kids homeschool co-op at this address and releases property and property owner of any liability.

  • Parental Supervision

  • The undersigned agrees that they will be present for the duration of the co-op class and at no time does Dream Big LV Kids assume legal responsibility of attendee 

  • T-Shirt Size

    If size is not listed please message Dream Big LV Kids
  • Please select size
  • Upon submission of this form a $25 registration fee is due via Venmo, Cashapp or Apple Pay. Message Dream Big LV Kids once payment has been submitted. This fee is non-refundable and covers the cost of supplies and t-shirt. Any leftover funds will be put into a reserve for unforeseen costs/classroom materials. 

  • Should be Empty: