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Joining Co-op Request Form

indicates a required answer

1. *

Parent Name

2. *

Names of Children, date of birth, grade and age as of September 1st:

3. *

Phone:

4. *

E-mail:

5. *

I have read and understand the Co-op Policy https://www.homeschool-life.com/1989/custom/38632

Please type name as signature: