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To apply for co-op membership, complete this form and pay the $25 non-refundable application fee. Instructions for payment will appear on the next screen.
Parents' Names
Address
City/State/Zip
Phone Number:
Primary Email Address
Please list your children who would attend co-op:
Name/ Age
How many years have you homeschooled?
How did you hear about the co-op? Please list the names of any members that you know.
What church do you attend?
Please list any special needs or delays any of your children have. (E.g., Down's syndrome, autism, Asberger's syndrome, learning disabilities, dyslexia, attention, behavioral, or social issues, speech/language deficits, hyperactivity, other.) This information will be kept confidential.
Please thoroughly list the areas in which you are able to contribute to the co-op, including classes you are willing to teach.
**Please note that all members will be required to be a lead teacher in one class.**