Membership Request Form

Please provide some important information about your family if you would like to be placed on the co-op waiting list. As openings become available, we will contact you.

**Please note that registration for each school year closes on July 21st. If you reach out after July 21, you will not be eligible to participate in the following fall/spring semester, but may receive notification about the Open House in January.

1. *	Parents' Names

2. *	Email address

3.	Phone Number

4. *

Please select your child(ren)'s grade level(s). (Check all that apply.)

(1 required)

Nursery (Newborn-2)		6th Grade
Pre-K (age 3-4)		7th Grade
Kindergarten (age 5-6)		8th Grade
1st Grade		9th Grade
2nd Grade		10th Grade
3rd Grade		11th Grade
4th Grade		12th Grade
5th Grade

5. *

Do you know someone who currently attends the co-op?

Yes

No

6.	If yes, what is their name?

7. *	How many years have you been homeschooling?

8. *

Are you interested in receiving information about our next Open House?

Yes

No

9. *	In which city/town do you currently live?

10. *	What church do you currently attend?

Welcome!

A tiny seed...

takes root in our child's heart

It grows and grows...

and produces fruit.

Let's plant and nurture the best seeds in them!

Request Membership

**Please note that registration for each school year closes on July 21st. If you reach out after July 21, you will not be eligible to participate in the following fall/spring semester, but may receive notification about the Open House in January.