ROUND 1 JANUARY 2024 REGISTRATION
ROUND DATES: January 18th- February 29th 
Event Address: New Life Church 
3400 Aztec Rd NE

Contact us at homeschool@wellvalley.org

*please note that upon filling out this form, you will receive a phone call from Angelica Stanley in order to verify and receive next steps for orientation. 
**This is not a kid drop off program.
***By completing this form you understand that You will be part of the day as we all have fun and connect with other families and learn! 
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Parent Attending Weekly Co-op First and Last Name  *
2nd Parent or Guardian of children for emergency contact only 
Name and Phone
 *
Best Contact Number  *
Are you okay with receiving text messages from Co-op leader for updates and reminders?  *
Email *
How did you hear about us?  *
First Name of Children and Ages *
Allergies or diet restrictions (snack and science project experience only) 
*list name and allergy 
 *
What age group would you most like to work with? 
Please note that we will be working in one building with sectioned tables. Your assigned table for leadership/activity with be you with another parent. We will do our best to place you accordingly. 
 *
Required
Any Thursdays that you will miss *
By checking this box I understand that my $40 per family fee will be collected at ORIENTATION. I will pay 7-week fee via cash, check, or charge to Well Valley, LLC after policy and procedures' have been discussed. This checkbox let's Angelica, Well Valley, LLC know that myself and children will be attending a 50- minute orientation with afternoon snack around 2pm.  *
Required
Thank you! Please submit form below and allow 24-48 hours to hear from us about Orientation.
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