Cultivate Homeschool Co-op Registration Form

Cultivate Homeschool Co-op Registration Form

Complete your family and student details, select courses for Hour 1, Hour 2, and Hour 3. Review required acknowledgments and agreements before submitting. *A shorter form is available for families coming back for additional sessions in the same school year.
Welcome to Cultivate Homeschool Co-op!
Parent/Guardian Full Name

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

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
How many children are you registering?
Student Information
Additional Course Selection
Student Course Selection
Volunteer Preferences
Emergency Contact Name

First NameLast Name
Emergency Contact Relationship
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Photo & Video Permission
Electronic Signature (Parent/Guardian)
Payment Information:

The cost of one 4-week session is:
- $25 for the first child
- $5 for each additional child
*Example: $25 for one, $30 for two, $35 for three, $40 for four, etc

**If you would rather pay with cash or check, please contact us to arrange it.

***If you need assistance covering the cost, please reach out. Some volunteer positions offer free membership, and there are some limited scholarships available.

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