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New Members - Online Application - Spring 2009 Semester
Please fill out the information below:

Family Last Name:
Home Phone:
Mother's Name:
Father's Name:
Address:
City:
Zip Code:
Mother's Cell:
Father's Cell:
Email:

(We will be communicating exclusively by email. It is very important that you check
your email frequently.)

Mom's talents, experience,
hobbies, areas of interest:
(to help identify future resources for classes.)




Dad's talents, experience,
hobbies, areas of interest:
(to help identify future resources for classes.)




Please list the classes in which you prefer to be a helper: (We will try to put you in at least one of your preferences)




Grade levels you feel
comfortable teaching:
(Check all that apply)


K-2
3-6
6-8
9-12


I understand that I must stay at the Church with my children during classes and
participate in Co-op in whatever capacity is needed.


I have read the Memorandum of Understanding. (This is a new form and it must be
read and checked in order to participate in Co-op and to proceed through the online
registration process.)

For class placement and/or job assignment purposes, please list any physical limitations of parent and/or child:



** For 1st time applicants** Please list two professional references
(ex: church ph# and address & job ph# address


Please write your children's names as you wish them to appear on
name tags. The grade should be for the 08/09 school year. To be in

Kindergarten, the student must be 5 years old by September 1st.

*****Note: Please write down a 2nd choice for ALL classes!

1.) Student Name:
Grade:
Birthdate:

Classes: .......1st Choice ............... 2nd Choice
1st Period:
2nd Period:
3rd Period:

2.) Student Name:
Grade:
Birthdate:

Classes: .......1st Choice ............... 2nd Choice
1st Period:
2nd Period:
3rd Period:

3.) Student Name:
Grade:
Birthdate:

Classes: .......1st Choice ............... 2nd Choice
1st Period:
2nd Period:
3rd Period:

4.) Student Name:
Grade:
Birthdate:

Classes: .......1st Choice ............... 2nd Choice
1st Period:
2nd Period:
3rd Period:

5.) Student Name:
Grade:
Birthdate:

Classes: .......1st Choice ............... 2nd Choice
1st Period:
2nd Period:
3rd Period:

6.) Student Name:
Grade:
Birthdate:

Classes: .......1st Choice ............... 2nd Choice
1st Period:
2nd Period:
3rd Period:

Preschool and nursery age students:
1.) Name:
Department:
Birthdate:(mo & yr)

Food Allergies:

2.) Name:
Department:
(highlight choice!)
Birthdate:(mo & yr)

Food Allergies:

3.) Name:
Department:
(highlight choice!)
Birthdate:(mo & yr)

Food Allergies:





xx

I give permission for my child/children to be photographed while
participating in Co-op classes and activities, and for the pictures to
be used on the website of the Helping Hands Homeschool Co-op.






xx I do not give permission for my child/children to be photographed while
participating in Co-op classes and activities, and for the pictures to
not be used on the website of the Helping Hands Homeschool Co-op.
Application Fee (non-refundable):
$30 per family on or before December 22nd or $35 per family after.

Helping Hands Homeschool Co-op offers registration and class fee scholarships to families who are experiencing financial hardship. For scholarship consideration, please mail a completed application to:

Helping Hands Homeschool Co-op
2179 Allena Lane, Temple, TX 76502

To make your registration payment through PayPal, or to make a donation toward our scholarship fund, click here.