Online Registration

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To apply for co-op membership for 2017-2018, please complete all sections of this form and then select the submit button.  Please remember that your membership application will not be considered complete until the registrar has received your deposit check.

1. *

Parents' First and Last Names:

2. *

Email:

3. *

Home Phone:

4. *

Cell Phone:

5. *

Address:

Emergency Contact

6. *

Name:

7. *

Relationship:

8. *

Home Phone:

9. *

Cell Phone:

Student Information

10. *

First Student Name:

11.

Gender:

male female
12. *

Age:

13. *

Birthdate:

14.

Grade:

Nursery Preschool 2s
Preschool 3-4s Kindergarten
1 2
3 4
5 6
7 8
9
15.

Second Student Name:

16.

Gender:

male female
17.

Age:

18.

Birthdate:

19.

Grade:

 
Nursery Preschool 2s
Preschool 3-4s Kindergarten
1 2
3 4
5 6
7 8
9
20.

Third Student Name:

21.

Gender:

male female
22.

Age:

23.

Birthdate:

24.

Grade:

 
Nursery Preschool 2s
Preschool 3-4s Kindergarten
1 2
3 4
5 6
7 8
9
25.

Fourth Student Name:

26.

Gender:

27.

Age:

28.

Birthdate:

29.

Grade:

 
Nursery Preschool 2s
Preschool 3-4s Kindergarten
1 2
3 4
5 6
7 8
9
30.

Fifth Student Name:

31.

Gender:

32.

Age:

33.

Birthdate:

34.

Grade:

 
Nursery Preschool 2s
Preschool 3-4s Kindergarten
1 2
3 4
5 6
7 8
9
35. 

Please provide any allergy and/or physical or learning disability of which Kingdom Builders should be made aware.

NOTICE - IMPORTANT INFORMATION - PLEASE READ:

Kingdom Builders is a nonprofit corporation with minimal assets, as such, all members expressly release and hold harmless Kingdom Builders from any and all liability for acts or omissions giving rise to loss. All members agree that they will assume all responsibility for any losses, attributable to Kingdom Builders or its agents or officers, which occur during, or as a result of, Kingdom Builders sponsored events or activities.

KINGDOM BUILDERS EXPECTATIONS FOR THE PARENT:

  • The workload is equally shared by all as each parent does his or her part.
  • When you bring your children to co-op, you will need to spend the day there at the church with them. Your presence is vital to the success of the co-op day.
  • Your time at co-op will be scheduled and divided between parents support time and as a teacher’s assistant in the classroom.
  • When you are assigned to a class, you are expected to assist the teacher during class time and handle all class discipline. We want the teachers to have the freedom to teach and not spend class time keeping order.
  • If you are unable to attend a scheduled co-op day, it is your responsibility to notify at least one of the Administrators as soon as possible and, when possible, to schedule substitutes for your slots for that coop day from the support list for that day.
  • Illness and Maternity leave are the only excused absences.
  • A parent from each family (typically the one attending co-op) is also expected to serve on a co-op committee(s). Further explanations are on the committee form that you will fill out and send in with this registration form. If you would like further definition about a committee position, feel free to call Kelly Schwarzhoff at 612-978-2579 and she will answer your questions.

I have read the above and I will to the best of my ability meet these expectations:

36. *

Name of Parent:

37. *

Date:

A $50.00 deposit is required for registration. This deposit goes towards tuition for the next school year and is non-refundable.  Your registration is not considered complete until your deposit has been received.  Checks may be made out to Kingdom Builders Co-op. 

Please mail your check to: Kingdom Builders Registrar, 9801 Brookside Ave. S. Bloomington, MN  55431

 

38. 

Comments:

Our goal is to get everyone helping on various activities that Kingdom Builders has to offer! This is not meant to be intimidating; the more help, the lighter the load! You will be given detailed instructions of your job(s) once the final assignments have been made.  We try to coordinate each parent to the committee(s) of their choice. If you have any questions regarding the duties in any of the committees you can contact our Co-Administrator, Kelly Schwarzhoff at: 612-978-2579.

 

If you are a returning member, we would like you to consider serving on the same committee as you served on this year.  Of course if you feel you could better serve the co-op somewhere else, feel free to choose another committee! 


I agree to serve on one or more of the committees of Kingdom Builders for the 2015-2016 school year .

 

39. *

Name:

40. *

Date:

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