JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Spring Co-op Registration Form
Tuesdays & Thursdays
February 18th to April 21th
9:30am - 3:00pm
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Full Name
*
Your answer
Address
*
Your answer
Cell Phone Number
*
Your answer
Emergency Contact Name, Number & Relationship
*
Your answer
What days will you attend? Please note we only have 3 family slots available for Tuesday and 3 family slots available for Thursdays. This is to ensure each co-op day is balanced. Selections are first come first serve. Please contact
Sakinah@muslimhomeschoolers.org
with any special circumstances.
*
Tuesday & Thursdays
Tuesdays
Required
Dietary restrictions due to allergy, for anyone registering for co-op?
*
None
Vegan
Gluten-free
Tree Nut-free
Peanut free
Egg & Dairy free
Seafood free
Other:
Full Names, Ages, Grades & Genders of children.
*
Your answer
Any special concerns we should be aware of for anyone in your family?
*
Your answer
Set up or Break down preference?
*
Morning
Afternoon
Assistant or Class Mom preference?
*
Littles - babies & toddlers in stages of development
Playschool - toddlers & preschoolers in stages of development
Primary - pre-k, kindergarten & first grade in stages of development
Elementary - second through fifth grades in stages of development
Secondary - sixth through ninth grades in stages of development
I understand that tuition fees must be paid by the completion of the Spring co-op semester. You have until 2/9/20 To make a payment! Please contact
sakinah@muslimhomeschoolers.org
with any special circumstances.
*
Yes
Required
I understand that I am responsible for setup & break down fee that may be refundable upon the completion of co-op.
*
Yes
Required
I understand all children must have a co-op tee. If you are returning and have a co-op tee in good condition you don't need to purchase a new one. Tees are $10 and orders will be placed the first week of co-op.
Yes
Clear selection
Sizes for co-op tees are ordered larger for a modest fit and better wash & wear over time. Please specify if you need more than one of a particular size in the comments below,
*
XS Littles
S Playschool
M Primary & Elementary
L Elementary & Secondary
XL Elementary & Secondary
XXL Secondary or Parent
XXXL
Other:
Please let us know if there are any skills or talents you would like to offer the co-op.
*
Your answer
We are looking to expand our coordinator team! We currently have the Public Relations role available. Please let us know if you are interested.
*
Yes
No
Please let us know what ideas you may have for future co-op workshops, special guests & field trips.
*
Your answer
Comments, Questions or Concerns?
*
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
