Homeschool Co-op Registration Form

Homeschool Co-op Registration Form

Please provide parent and student details to complete your registration.
Parent Information
Parent Full Name

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

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Student Information
Gender
Students
How do you plan to pay your membership of $200 per month per child? Membership includes weekly classes and class supplies. Campouts and field trips cost will vary and be paid at time of event.
Primary class Location
Are you currently in a scout unit? Cub Scouts, BSA troop, or Girl Scouts
Should be Empty: