Kingdom Builders Homeschool Co-op Registration Form

Kingdom Builders Homeschool Co-op Registration Form
Welcome to Kingdom Builders Homeschool Co-op!

We are excited that you are considering joining the Kingdom Builders family! Our co-op exists to support homeschooling families by providing Christ-centered learning opportunities, meaningful friendships, hands-on enrichment classes, and a supportive community where students and parents can learn and grow together. Our desire is to partner with parents as they disciple and educate their children while building relationships that encourage faith, character, and academic growth.

Before completing your registration, please carefully review the following documents:

Rules & Guidelines
Statement of Faith
Parent Commitment Policy

By proceeding with registration, you acknowledge that you have read, understand, and agree to abide by these policies and expectations. These documents help ensure a safe, positive, and successful experience for all families participating in Kingdom Builders Homeschool Co-op.

We look forward to partnering with your family this year and are excited to see what God will do through our Kingdom Builders community!

Once your family has been accepted and we verify that your requested classes are available, you will receive an email with instructions to pay your $100 registration fee. Included in that email will be information on how to receive a background check. Your registration will be pending until both are received.

Family Information

Please complete the fields below.
Father's Name:

First NameLast Name
Father's Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Mother's Name:

First NameLast Name
Mother's Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Preferred Contact Email:
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact

First NameLast Name
Emergency Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Student 1

First NameLast Name
Student 2

First NameLast Name
Student 3

First NameLast Name
Student 4

First NameLast Name
Student 5

First NameLast Name
How did you find out about Kingdom Builders Homeschool Co-Op?
Please tell us a little bit about your homeschooling journey. How long have you been homeschooling? Why did you decide to homeschool? What are your objectives?
Where do you currently attend church and in what capacity, if any, do you serve in your local church body?
Have you previously participated with a homeschool cooperative? If so, what was your role?
What benefits do you expect your family to receive as a member of Kingdom Builders Homeschool Co-Op?
We understand that we all come from different church backgrounds and have differing homeschool philosophies and we enjoy the diversity this brings to our group, but the one thing that unites our group is each individual's commitment to a personal relationship with Christ. Briefly share about your relationship with Christ and how this affects your homeschooling journey.
Please provide the name and contact information for two personal references, one may be a current Kingdom Builders Member. We would prefer that these references be people that you've served with in an area of ministry or when working with children.
Have you ever been investigated or charged with child abuse or neglect, educational neglect, or any other related charge?
Has any child that you plan to enroll at Kingdom Builders ever been suspended or expelled from school?
Are any of your participating children under a court order to attend school?

Student Information: Student 1
Student Name:

First NameLast Name
Student Birth Date:

MonthDayYear
Date
Student Age:
Student Gender
Student Grade:
Grade level for the upcoming co-op year
Allergies/Medical Conditions:
List the allergy/condition and any special needs or instructions the co-op leadership and teachers need to be aware of.
Please list any additional information about your child that co-op leadership needs to know in order to make the best class placements.
Student Group
NPK Class Selection
Please read the Elementary Class Descriptions below and rank the list of afternoon club options in your child's order of preference. 1=most preferred, 7=least preferred. (Click the + to enlarge)
Elementary Club Selections
Please view the MS/HS Class Descriptions document below and choose from the available classes. If a class is not listed within the dropdown selections, the class is full or it is not offered during that block. List any waitlist classes at the bottom of the form. (Click the + to enlarge)
MS/HS Class Selection: Block 1 (9:30-10:30)
If a class is not listed, it is full or is not offered during this block. Please list any waitlist classes below.
MS/HS Class Selection: Block 2 (10:30-11:30)
If a class is not listed, it is full or is not offered during this block. Please list any waitlist classes below.
MS/HS Class Selection: Block 2 (10:30-11:30) Second Semester
If a class is not listed, it is full or is not offered during this block. Please list any waitlist classes below.
MS/HS Class Selection: Block 3 (11:30-12:30)
If a class is not listed, it is full or is not offered during this block. Please list any waitlist classes below.
MS/HS Class Selection: Block 4 (1:00-2:30)
If a class is not listed, it is full or is not offered during this block. Please list any waitlist classes below.
Please list any waitlist classes below:

Student Information: Student 2
Student Name:

First NameLast Name
Student Birth Date:

MonthDayYear
Date
Student Age:
Student Gender
Student Grade:
Grade level for the upcoming co-op year
Allergies/Medical Conditions:
List the allergy/condition and any special needs or instructions the co-op leadership and teachers need to be aware of.
Please list any additional information about your child that co-op leadership needs to know in order to make the best class placements.
Student Group
NPK Class Selection
Please read the Elementary Class Descriptions below and rank the list of afternoon club options in your child's order of preference. 1=most preferred, 7=least preferred. (Click the + to enlarge)
Elementary Club Selections
Please view the MS/HS Class Descriptions document below and choose from the available classes. If a class is not listed within the dropdown selections, the class is full or it is not offered during that block. List any waitlist classes at the bottom of the form. (Click the + to enlarge.)
MS/HS Class Selection: Block 1 (9:30-10:30)
If a class is not listed, it is full or is not offered during this block. Please list any waitlist classes below.
MS/HS Class Selection: Block 2 (10:30-11:30)
If a class is not listed, it is full or is not offered during this block. Please list any waitlist classes below.
MS/HS Class Selection: Block 2 (10:30-11:30) Second Semester
If a class is not listed, it is full or is not offered during this block. Please list any waitlist classes below.
MS/HS Class Selection: Block 3 (11:30-12:30)
If a class is not listed, it is full or is not offered during this block. Please list any waitlist classes below.
MS/HS Class Selection: Block 4 (1:00-2:30)
If a class is not listed, it is full or is not offered during this block. Please list any waitlist classes below.
Please list any waitlist classes below:

Student Information: Student 3
Student Name:

First NameLast Name
Student Birth Date:

MonthDayYear
Date
Student Age:
Student Gender
Student Grade:
Grade level for the upcoming co-op year
Allergies/Medical Conditions:
List the allergy/condition and any special needs or instructions the co-op leadership and teachers need to be aware of.
Please list any additional information about your child that co-op leadership needs to know in order to make the best class placements.
Student Group
NPK Class Selection
Please read the Elementary Class Descriptions below and rank the list of afternoon club options in your child's order of preference. 1=most preferred, 7=least preferred. (Click the + to enlarge)
Elementary Club Selections
Please view the MS/HS Class Descriptions document below and choose from the available classes. If a class is not listed within the dropdown selections, the class is full or it is not offered during that block. List any waitlist classes at the bottom of the form. (Click the + to enlarge)
MS/HS Class Selection: Block 1 (9:30-10:30)
If a class is not listed, it is full or is not offered during this block. Please list any waitlist classes below.
MS/HS Class Selection: Block 2 (10:30-11:30)
If a class is not listed, it is full or is not offered during this block. Please list any waitlist classes below.
MS/HS Class Selection: Block 2 (10:30-11:30) Second Semester
If a class is not listed, it is full or is not offered during this block. Please list any waitlist classes below.
MS/HS Class Selection: Block 3 (11:30-12:30)
If a class is not listed, it is full or is not offered during this block. Please list any waitlist classes below.
MS/HS Class Selection: Block 4 (1:00-2:30)
If a class is not listed, it is full or is not offered during this block. Please list any waitlist classes below.
Please list any waitlist classes below:

Student Information: Student 4
Student Name:

First NameLast Name
Student Birth Date:

MonthDayYear
Date
Student Age:
Student Gender
Student Grade:
Grade level for the upcoming co-op year
Allergies/Medical Conditions:
List the allergy/condition and any special needs or instructions the co-op leadership and teachers need to be aware of.
Please list any additional information about your child that co-op leadership needs to know in order to make the best class placements.
Student Group
NPK Class Selection
Please read the Elementary Class Descriptions below and rank the list of afternoon club options in your child's order of preference. 1=most preferred, 7=least preferred. (Click the + to enlarge)
Elementary Club Selections
Please view the MS/HS Class Descriptions document below and choose from the available classes. If a class is not listed within the dropdown selections, the class is full or it is not offered during that block. List any waitlist classes at the bottom of the form. (Click the + to enlarge)
MS/HS Class Selection: Block 1 (9:30-10:30)
If a class is not listed, it is full or is not offered during this block. Please list any waitlist classes below.
MS/HS Class Selection: Block 2 (10:30-11:30)
If a class is not listed, it is full or is not offered during this block. Please list any waitlist classes below.
MS/HS Class Selection: Block 2 (10:30-11:30) Second Semester
If a class is not listed, it is full or is not offered during this block. Please list any waitlist classes below.
MS/HS Class Selection: Block 3 (11:30-12:30)
If a class is not listed, it is full or is not offered during this block. Please list any waitlist classes below.
MS/HS Class Selection: Block 4 (1:00-2:30)
If a class is not listed, it is full or is not offered during this block. Please list any waitlist classes below.
Please list any waitlist classes below:

Student Information: Student 5
Student Name:

First NameLast Name
Student Birth Date:

MonthDayYear
Date
Student Age:
Student Gender
Student Grade:
Grade level for the upcoming co-op year
Allergies/Medical Conditions:
List the allergy/condition and any special needs or instructions the co-op leadership and teachers need to be aware of.
Please list any additional information about your child that co-op leadership needs to know in order to make the best class placements.
Student Group
NPK Class Selection
Please read the Elementary Class Descriptions below and rank the list of afternoon club options in your child's order of preference. 1=most preferred, 7=least preferred. (Click the + to enlarge)
Elementary Club Selections
Please view the MS/HS Class Descriptions document below and choose from the available classes. If a class is not listed within the dropdown selections, the class is full or it is not offered during that block. List any waitlist classes at the bottom of the form. (Click the + to enlarge the text)
MS/HS Class Selection: Block 1 (9:30-10:30)
If a class is not listed, it is full or is not offered during this block. Please list any waitlist classes below.
MS/HS Class Selection: Block 2 (10:30-11:30)
If a class is not listed, it is full or is not offered during this block. Please list any waitlist classes below.
MS/HS Class Selection: Block 2 (10:30-11:30) Second Semester
If a class is not listed, it is full or is not offered during this block. Please list any waitlist classes below.
MS/HS Class Selection: Block 3 (11:30-12:30)
If a class is not listed, it is full or is not offered during this block. Please list any waitlist classes below.
MS/HS Class Selection: Block 4 (1:00-2:30)
If a class is not listed, it is full or is not offered during this block. Please list any waitlist classes below.
Please list any waitlist classes below:

Kingdom Builders Homeschool Co-Op Participation Agreement
Kingdom Builders Homeschool Co-op is committed to providing a fun, safe, and academically challenging learning environment. In order to meet these goals, participating students need to:

*Be able to function independently and participate in a classroom setting without being a distraction to others or exhibiting behavior that is an impediment to learning.
*Be able to complete the academic requirements of the class.
*Treat teachers and other students with respect.
*Behave in a Christ-like manner.

I understand that my child/children will be held to the above standards and that the leadership team will bring to my attention any incident or situation where my student is not meeting these requirements. I commit to work with the leadership team to resolve any issues that may arise and abide by their final decisions.

The Kingdom Builders Homeschool Co-op admits students of any gender, race, color, national origin, and ethnic origin to all the rights privileges, programs and activities generally accorded or made available to students at Co-op. It does not discriminate on the basis of gender, race, color, national origin, and ethnic origin in administration of its admission policies, Rules and Guidelines, Parent Commitment Policy or any other Co-op programs and activities.
Signature
Kingdom Builders Homeschool Co-Op: Waiver and Release of Liability
IN CONSIDERATION of being a participant of Kingdom Builders Homeschool Co-op (here after "KBC") and being permitted to utilize the facilities of Bull Street Baptist Church (hereafter "Bull Street Baptist") l, the undersigned, intending to be legally bound for my family, do hereby:

1) Acknowledge that my family's participation in KBC and my family's utilization of the Bull Street Baptist facility could expose my family to a possible risk of personal injury, and I assume all risks inherent in such participation and/or utilization.

2) Release and agree to indemnify both KBC and Bull Street Baptist, which includes any KBC member and any Bull Street Baptist officers, elders, staff members, and employees, from any and all liability, loss, damage, expense, or cost of any nature whatsoever from any and all claims by or against my family for property damage, personal injury, and/or claims arising from my family's participation and/or utilization, including claims that are known or unknown, foreseen or unforeseen, future or contingent;

3)Agree that my family shall not now or at any time in the future, directly or indirectly, commence or prosecute any action, suit, or other legal proceeding against either KBC or Bull Street Baptist arising out of, relating to, or in connection with the actions, causes of action, claims, and demands hereby waived, released or discharged by me; and

4)Attest that I am of legal age to execute this form as a binding legal document in accordance with its intention.

5)By signing below, I confirm that I authorize the use of my electronic signature for the purpose described above. I understand that this authorization is legally binding and voluntary.
Signature
Kingdom Builders Homeschool Co-Op: Commitment Agreement

Parent Section
By signing below you indicate that all information you have provided is accurate to the best of your knowledge. In addition, you acknowledge that you have read, understand, and agree with the Kingdom Builder's Rules and Guidelines, Parent Commitment Policy, and Statement of Faith documents. These documents form the basis of the operation of the co-op. Agreement to these documents is required for membership and participation in the co-op.
KBC Rules and Guidelines
KBC Parent Commitment Policy
KBC Statement of Faith
Parent Signature:
Student Section (Middle & High School Students Only)
By signing below you acknowledge that you have read, understand, and agree with the Kingdom Builder's Rules and Guidelines. Agreement to this document is required for participation in the co-op.
Student 1 Signature
Student 2 Signature
Student 3 Signature
Student 4 Signature
Student 5 Signature
Please verify that you are human
Should be Empty:

Rows	1 - Not Interested At All	2 - Not Really Interested	3-Neutral	4 - Interested	5 - Very Interested
Science
Writing
Literature
History
Foreign Language
Public Speaking
Physical Education
Large Group Games
Hands-On Activities
Cleaning
Art
Crafts
Drama
Cooking
Planning
Organizing

Kingdom Builders Homeschool Co-op Registration Form

Family Information

Parent Volunteer Commitment Survey

Student Information: Student 1

Student Information: Student 2

Student Information: Student 3

Student Information: Student 4

Student Information: Student 5

Kingdom Builders Homeschool Co-Op Participation Agreement

Kingdom Builders Homeschool Co-Op: Waiver and Release of Liability

Kingdom Builders Homeschool Co-Op: Commitment Agreement