Family Application
We are glad you are interested in joining our co-op! We hope you have taken the time to read through our website so that you have a good idea of what we are about. In a nutshell? Cooperating with other homeschool families to provide extra-curricular and elective-style classes for homeschooled students. **Application deadline is June 30th.
Family's Last Name
*
Mom's Name
*
Mom's Email
*
Mom's Phone Number
*
Dad's Name
Dad's Email
Dad's Phone Number
Children's Names & Birthdate
#1 Child Name
*
#1 Child Birthdate
-
Month
-
Day
Year
Date
#2 Child Name
#2 Child Birthdate
-
Month
-
Day
Year
Date
#3 Child Name
#3 Child Birthdate
-
Month
-
Day
Year
Date
#4 Child Name
#4 Child Birthdate
-
Month
-
Day
Year
Date
#5 Child Name
#5 Child Birthdate
-
Month
-
Day
Year
Date
What church do you attend? (if you do)
How did you hear about us?
*
We’re curious — what are you hoping to contribute to and gain from being part of our group?
*
Submit
Should be Empty: