Harvest Church - AZ - Enroll Your Student

HCAZ Homeschool Co-op Schedule & Attendance

Classes will take place Monday, Tuesday, and Wednesday from 8:30 am to 2:30 pm

Family Information

Parent or Guardian First Name

Parent or Guardian Last Name

Parent or Guardian Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Parent or Guardian Email

Parent or Guardian Phone Number

Emergency Contact First Name

Emergency Contact Last Name

Emergency Contact Phone Number

Student Information

Student First Name

Student Last Name

Birthdate

Grade Level (or Equivalent)

Any allergies, medical conditions, or special needs we should be aware of?

If "Yes", please explain:

Does your child require an aide or additional support?

If "Yes", please explain:

Co-op Participation

Membership Fee (Through 2025)

Elementary $350

Kindergarteners $270

Do you understand and agree to pay the registration fee and/or class fees?

Are you willing to teach or assist in a class?

If yes, which age group(s) are you comfortable working with? (K-8th) / (6-14)

Areas of expertise or interest (e.g., math, science, art, music, language, etc.):

Are you open to serving on a committee or helping with organization tasks? (e.g., event planning, cleaning, set-up/tear-down, admin)

If "Other", please explain

Permissions & Agreements

Do you give permission for your child to be photographed for internal co-op use?

Do you give permission for your child to participate in off-site field trips? (Yes / No – if yes, field trip forms may follow)

Agreement to co-op policies, code of conduct, and attendance expectations:

Date Input

Print Name

Signature

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HCAZ Homeschool Co-op Schedule & Attendance

Family Information

Student Information

Co-op Participation

Permissions & Agreements

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