Please complete the family information below only ONCE per family.
If you have already complete this form for another child, just skip it! Thanks.

Parent Name:

Address:

City:      State:     Zip:
Home Phone:    Cell Phone:
Email:
Children's Names & Grades:
What church do you attend?

Where would you like to volunteer?

Questions or Comments?  


Please choose a first and second choice class for each hour. If your family will not be attending co-op during a particular hour, please choose the "Not Attending Co-op" option. If you will not be enrolling your child in a class during a particular hour, please choose the "Study Hall" option. 

We will make every effort to give you your first choice classes, but all classes are filled on a first-come/first-serve basis, and some may fill up quickly. You will be notified via email of your student's final class schedule. If your student is placed in their second choice class, they will automatically be placed on the waiting list for their first choice class. Openings in full classes will also be filled on a first-come/first-serve basis.

Class size will be strictly limited to 12 students, unless a larger number of students has been pre-approved by the teacher.

Student's Name:  
Grade Level:   
10:00 to 11:00 First Choice:
Second Choice:
     
11:00 to 12:00 First Choice:
Second Choice:
     
12:30 to 1:30 First Choice:
Second Choice:
     
1:30 to 2:30 First Choice:
  Second Choice:

If you have any problems or questions,
please email Karen Cook at tkcook@roadrunner.com.