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Parent Information
Parent/s Name
*
Parent/s Email
*
Parent/s Phone Number
*
Address
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Are you supportive of the biblical faith-based lessons and the integration of Christian beliefs into the homeschool co-op's programming?
*
Yes
No
Name of Children's Primary Care Doctor
*
Phone Number of Primary Care Doctor
*
Should your child/ren ask, what medication or treatment may be administered to your child/ren?
*
Motrin
Tylenol
Bug Spray
Sunscreen
Eye Wash
In the event of an emergency, may medical care be pursued for your child/ren?
*
Yes
No
Please list the names and phone numbers of anyone authorized to pick up your child/ren.
*
Child 1 Information
Child Name
*
First
Last
Date of Birth
*
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Proposed Child Grade for Fall 2024
*
Pre-K
K
1st
2nd
3rd
4th
5th
6th
7th
8th
Does your child have any allergies, special needs, disability, or medical concerns? Please explain.
For what offerings are you registering this child? Academic Enrichment days will Wednesdays with some required work to be done at home outside of co-op. The STEAM Extracurricular Enrichment day is Thursday. There is no out of co-op work required for Thursday participation.
*
Both Wednesday and Thursday ($900/semester)
Just Wednesday Academic Enrichment ($480/semester, 15 days)
Just Thursday STEAM Extracurricular Enrichment ($480/semester, 12 days)
Wednesday AM ELA/Math ($280/semester, 15 days)
Wednesday PM Social Studies/Science ($280/semester, 15 days)
Add another child?
*
Yes
No
Child 2 Information
Child Name 2
*
First
Last
Date of Birth 2
*
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
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5
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YYYY
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
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1953
1952
1951
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1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Proposed Child Grade for Fall 2024
*
Pre-K
K
1st
2nd
3rd
4th
5th
6th
7th
8th
Does your child have any allergies, special needs, disability, or medical concerns? Please explain.
For what offerings are you registering this child? Academic Enrichment days will Wednesdays with some required work to be done at home outside of co-op. The STEAM Extracurricular Enrichment day is Thursday. There is no out of co-op work required for Thursday participation. (copy)
*
Both Wednesday and Thursday ($900/semester)
Just Wednesday Academic Enrichment ($480/semester, 15 days)
Just Thursday STEAM Extracurricular Enrichment ($480/semester, 12 days)
Wednesday AM ELA/Math ($280/semester, 15 days)
Wednesday PM Social Studies/Science ($280/semester, 15 days)
Add another child?
*
Yes
No
Child 3 Information
Child Name 3
*
First
Last
Date of Birth 3
*
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
YYYY
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Proposed Child Grade for Fall 2024
*
Pre-K
K
1st
2nd
3rd
4th
5th
6th
7th
8th
Does your child have any allergies, special needs, disability, or medical concerns? Please explain.
For what offerings are you registering this child? Academic Enrichment days will Wednesdays with some required work to be done at home outside of co-op. The STEAM Extracurricular Enrichment day is Thursday. There is no out of co-op work required for Thursday participation. (copy) (copy)
*
Both Wednesday and Thursday ($900/semester)
Just Wednesday Academic Enrichment ($480/semester, 15 days)
Just Thursday STEAM Extracurricular Enrichment ($480/semester, 12 days)
Wednesday AM ELA/Math ($280/semester, 15 days)
Wednesday PM Social Studies/Science ($280/semester, 15 days)
Add another child?
*
Yes
No
Child 4 Information
Child Name 4
*
First
Last
Date of Birth 4
*
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
YYYY
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Proposed Child Grade for Fall 2024
*
Pre-K
K
1st
2nd
3rd
4th
5th
6th
7th
8th
Does your child have any allergies, special needs, disability, or medical concerns? Please explain.
For what offerings are you registering this child? Academic Enrichment days will Wednesdays with some required work to be done at home outside of co-op. The STEAM Extracurricular Enrichment day is Thursday. There is no out of co-op work required for Thursday participation. (copy) (copy) (copy)
*
Both Wednesday and Thursday ($900/semester)
Just Wednesday Academic Enrichment ($480/semester, 15 days)
Just Thursday STEAM Extracurricular Enrichment ($480/semester, 12 days)
Wednesday AM ELA/Math ($280/semester, 15 days)
Wednesday PM Social Studies/Science ($280/semester, 15 days)
Additional Information
At Faith & Freedom, parent involvement is crucial. There are mandatory cleaning hours (1 cleaning per month per child enrolled, see volunteer policy here). Are there other ways you'd like to be involved in supporting our children's education?
*
Class Leader/Teacher
Reading to Preschool-Kindergarten
Additional Monetary Donation
What class/es would you be interested in leading or teaching?
*
Do you have any concerns, questions, or other contributions to share?
Have you read all the policies on the website?
*
Yes
No
Faith & Freedom Policies
Are you committed to support and partner with Faith and Freedom Co-op for your child/ren's education? Will you complete the required at-home lessons for your child/ren?
*
Yes
No
Are you aware of the volunteer policy that requires monthly cleanings or paying an additional fee?
*
Yes
No
By submitting this form, I realize that I hold primary responsibility for the education of my child/children. I commit to spend time outside of co-op hours to teach, support, and nurture my child/children. Faith & Freedom exists to provide community support to the homeschool parent and child, not to provide a fully exhaustive academic school. I also give permission for my child to be photographed and shared in our private and hidden Facebook group containing already vetted members. I authorize Faith & Freedom to administer routine first aid treatment for my child/ren should they require it.
Submit