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HCAZ Homeschool
What is HCAZ Homeschool?
Enroll Your Student
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Ministries
Childrens Ministry
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GIVE
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
Month
January
February
March
April
May
June
July
August
September
October
November
December
Date
1
2
3
4
5
6
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31
1912
1913
1914
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1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
Year
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Grade Level (or Equivalent)
Any allergies, medical conditions, or special needs we should be aware of?
No
Yes
If "Yes", please explain:
Does your child require an aide or additional support?
No
Yes
If "Yes", please explain:
Co-op Participation
Membership Fee
Elementary $470
Kindergarteners $362
Do you understand and agree to pay the registration fee and/or class fees?
Yes
No
Are you willing to teach or assist in a class?
Yes
No
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)
Yes
No
If yes, which committee or tasks?
Event Planning
Cleaning
Set-Up / Tear-Down
Admin
Other
If "Other", please explain
Permissions & Agreements
Do you give permission for your child to be photographed for internal co-op use?
Choice One
Choice Two
Do you give permission for your child to participate in off-site field trips? (Yes / No – if yes, field trip forms may follow)
Yes
No
Agreement to co-op policies, code of conduct, and attendance expectations:
Date Input
Month
January
February
March
April
May
June
July
August
September
October
November
December
Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
Year
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Print Name
Signature
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