Home School Application Co-Op What is a Co-op Homeschool Program? * A co-operative (co-op) is a parent-led learning environment. * The environment helps to teach core classes as well as providing socialization. * Parents attend with their children and teach and learn alongside other homeschooling families. * Parents remain with their child on campus all day during the homeschool co-op.Mother's name(Required) First Last Father's name(Required) First Last Email (To use for all of communication)(Required) Mother's Cell(Required)Father's Cell(Required)Which Church Will You Be Homeschooling With(Required)This is a 32 Week Program. Grades pre-k to 8th grade Sacred Heart Chaldean Church - Monday & Wednesday 1030am-130pm St. Thomas Chaldean Church - Tuesday & Thursday 1030am-130pm How Many Children Will Be Registered ($50 Fee)(Required) 1 2 3 4 5 6 Name of Child 1(Required) First Last Name of Child 2(Required) First Last Name of Child 3(Required) First Last Name of Child 4(Required) First Last Name of Child 5(Required) First Last Name of Child 6(Required) First Last Mailing Address(Required) Street Address City State / Province / Region ZIP / Postal Code What church are you a registered parishioner at?(Required) Children's names, age/grade for Fall 2024 and last sacrament received. Please only include children who will be attending co-op days. Older children not attending do not need to be listed.(Required)Have you taken the Virtus training (Protecting God's Children) within the past 7 years?(Required) Yes No Not Sure Please describe anything additional we may need to be aware of (ie., allergies, behavior issues, additional children, comments, and/or questions).(Required)Please type in NONE if nothing additional Coupon Code (if you have one) Total Credit Card(Required) American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name Δ
