Northside Homeschool Co-Op Application for Participation

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Northside Homeschool Co-Op Application for Participation - Student

This is an application to express interest in participation. An application is REQUIRED for each child participating. Completing this form doesn't automatically enroll you. A team member will contact you within one week.

First Name (Parent 1) *

Last name (Parent 2) *

First Name (Parent 2 or N/A) *

Last Name (Parent 2 or N/A) *

Address *

Email *

Phone number *

First Name (child) *

Last Name (child) *

Birth date (MM/DD/YYYY) *

Allergies *

Any additional information you think we need to know? (or N/A) *

Which local church do you attend? *

This ministry is for families that agree on several key faith-based statements which are fully listed in the Statement of Faith available on the website. In summary, you must agree that:

1) The Bible is God's Word, it is perfect and authoritative(Initial below)

2) God is one. He is the only living and true God. The eternal triune God reveals Himself to us as Father, Son, and Holy Spirit, with distinct personal attributes, but without division of nature, essence, or being.

3) God has ordained the family as the foundational institution of human society. Marriage is the uniting of one man and one woman in covenant commitment for a lifetime. The husband and wife are of equal worth before God, since both are created in God’s image. Children, from the moment of conception, are a blessing and heritage from the Lord.

I agree

I disagree

Required

I agree to be responsible for the behavior of my child(ren). (Initial below)
*

I understand that I will be required to fulfill the job(s) that will be assigned to me in order to participate in co-op. I agree that either myself, spouse, or appointed guardian will stay on the campus during the hours of the co-op program. If a need arises where I must leave for a short period, I will make arrangements with the co-op leader. (Initial below)
*

In the case of an incident that results in physical injury to my child(ren) or myself, I release: The Co-op and Church from any liability and all claims against them, individually or collectively, for any damages or medical care necessary. (Initial below)
*

I understand that the co-op may take photos and/or videos of program participants during the program activities and events for use on Facebook, Instagram, yearbook publications or promotional materials in print. Photos/videos will only be used for purposes related to these co-op programs and their related partners. Please check the correct line below:
*

I DO grant permission for the use of my or my child's photo/video

I DO NOT grant permission for the use of my or my child's photo/video

Please digital sign by typing full name below *

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