Rooted Chapel Hill Enrollment Form

Rooted Chapel Hill Enrollment Form

Welcome to Rooted Chapel Hill Homeschool Co-op! We're so glad you're here. Rooted exists to provide a Christ-centered community where families can learn, grow, and build meaningful friendships together. Our goal is to create a welcoming environment that supports both students and parents through enriching classes, shared experiences, and genuine connection. We believe some of the best learning happens in community. Whether your family is new to homeschooling or has been on this journey for years, we are excited about the opportunity to learn alongside one another and cultivate a co-op where families feel known, supported, and rooted. Please complete the enrollment form below. We look forward to getting to know your family!
Student's Name

First NameLast Name
Student's Date of Birth

MonthDayYear
Date
Grade for the 2026-2027 School Year
Do you have additional students in grades K-5?
Student 2's Name

First NameLast Name
Student 2's Date of Birth

MonthDayYear
Date
Student 2's Grade for the 2026-2027 School Year
Student 3's Name

First NameLast Name
Student 3's Date of Birth

MonthDayYear
Date
Student 3's Grade for the 2026-2027 School Year
Student 4's Name

First NameLast Name
Student 4's Date of Birth

MonthDayYear
Date
Student 4's Grade for the 2026-2027 School Year
Student 5's Name

First NameLast Name
Student 5's Date of Birth

MonthDayYear
Date
Student 5's Grade for the 2026-2027 School Year
Student 6's Name

First NameLast Name
Student 6's Date of Birth

MonthDayYear
Date
Student 6's Grade for the 2026-2027 School Year

Parent/Guardian Name

First NameLast Name
Parent/Guardian Email
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Are you willing to teach for at least one month?
What are you interested in teaching?
What might you be interested in teaching?

Review and acknowledge the following:
Should be Empty: