InGenius Academy Homeschool Co-op Enrollment
Share your family details and the classes you’re interested in—so we can follow up with next steps.
Parent/Guardian Information
Parent/Guardian Full Name
*
First Name
Middle Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Home City
Preferred Method of Contact
*
Text
Phone
Email
Child Information
Child's Full Name
*
First Name
Last Name
Preferred Name (if different)
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Age
*
Grade / Approximate Learning Level
Please Select
Age 0
Age 1
Age 2
Age 3
Age 4
Age 5
Age 6
Age 7
Age 8
Age 9
Age 10
Age 11
Age 12
Age 13
Age 14
Age 15
Age 16
Age 17
Age 18
Not in an official grade yet
Add Another Child
Classes & Offerings
What would you like to register for or learn more about?
*
Parent + Child Class — ages 0–3.5
Early Childhood Class — ages 3.5–7
DIYT- Do It Yourself Together
Yoga & Meditation
One-on-One Mentorship & Coaching
One-on-One Part-Time Tutoring
Gardening Workshop
Choir
Cooking
IRL Events — Event Planning
Creative Makers Studio
Private Guitar Lessons
Private Piano Lessons
Private Singing Lessons
Other class or experience you'd love to see offered
Important Information About Your Child
Is there anything we should know to help your child have a safe and positive experience with us?
Does your child have any allergies or medical conditions we need to be aware of?
*
No
Yes — please explain
Please explain the allergies or medical conditions
*
Emergency Contact
Emergency Contact Name
*
First Name
Middle Name
Last Name
Relationship to Child
*
Please Select
Grandparent
Aunt/Uncle
Sibling
Family Friend
Neighbor
Other
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Is there anyone other than the parent or guardian you want to authorize to pick up your child?
*
Yes
No
Person’s Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Parent/Family
Emergency Authorization
*
I authorize InGenius Homeschool Co-op staff to contact emergency services and obtain reasonably necessary emergency care for my child
I do not authorize
Photo & Media Permission
Photo & Media Permission
*
Yes — photos/videos of my child may be used in program communications, website, social media, and promotional materials.
Private use only — photos/videos may be shared privately with participating families but not used publicly.
No — please do not photograph or record my child.
Parent/Guardian Acknowledgment
InGenius Homeschool Co-op provides supplemental classes, enrichment experiences, mentorship, and community opportunities for homeschool families and does not act as your child’s school of record. Parents/guardians remain responsible for homeschool registration, attendance, academic, and reporting requirements. Participation may include age-appropriate movement, creative activities, cooking, outdoor activities, group experiences, and other hands-on learning experiences depending on classes selected. You agree to communicate any important health, safety, allergy, accessibility, behavioral, or support information.
I have read and agree to the above
*
I have read and agree to the above
Parent/Guardian Electronic Signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Submit
Should be Empty: