Graves County Home Education Co-op Graves County Home Education Co-op Graves County Home Education Co-op
 

Visitor Request Form

indicates a required answer

GCHE is excited to hear that you want to visit! 

Before filling out the the following form, please read through the Visitor Policy and all the links contained within. Once received, a member of the Advisory team will reach out to you via the email you have provided to let you know if your visit has been approved. 
1. *

Parent/Legal Guardian of Visitor(s)
2. *

Cell Phone number of Parent/Legal Guardian
3. *

Email address of Parent/Legal Guardian
4. *

Home Address
5. *

City, State
6. *

Name of current GCHE family known to us (put "none" if none known)
7. *

Date we would like to visit
8. *

Reason for visit:
9. *

1st Visiting child's name
10. *

1st Visiting child's grade level
11. 

1st Visiting child allergies
12. 

2nd Visiting child's name
13. 

2nd Visiting child's grade level
14. 

2nd Visiting child's allergies
15. 

3rd Visiting child's name
16. 

3rd Visiting child's grade level
17. 

3rd Visiting child's allergies
18. 

4th Visiting child's name
19. 

4th Visiting child's grade level
20. 

4th Visiting child's allergies

 

I have read the Graves County Home Education Cooperative Visitor Policy and agree with the Mission Statement, Statement of Faith, and Church Use.

I have read and will comply with student responsibilities and dress code guidelines while visiting.

 
21. *

BY ENTERING MY NAME BELOW, I AGREE TO THE STATEMENTS ABOVE

PARENT/GUARDIAN SIGNATURE

RELEASE OF LIABILITY & HOLD HARMLESS AGREEMENT

By signing below, the undersigned parent or legal guardian of the minor child(ren) listed above hereby releases, discharges, and holds harmless the Host Church of GCHE, Graves Home Education Co-op, its leadership, Advisory Team, volunteers, agents, sponsors, and participating members from any and all liability, claims, demands, actions, or causes of action arising out of or related to any loss, injury, illness, death, accident, or damage, including those resulting from negligence, that may be sustained by the minor child(ren) or the undersigned during participation in Graves Home Education Co-op activities, events, or while on premises used by the Co-op.

Furthermore, I agree to indemnify and hold harmless the host Church of GCHE, Graves Home Education Co-op, and all aforementioned parties from any and all legal claims or liabilities that may be asserted by or on behalf of myself, my child(ren), or any third party as a result of participation in Graves Home Education Co-op, including travel to and from co-op events.

This release is binding upon my heirs, next of kin, executors, legal representatives, and assigns, and I acknowledge that I am voluntarily signing this agreement with full knowledge of its terms and legal significance.
22. *

I HAVE READ THE ABOVE WAIVER AND RELEASE AND UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND SIGN IT VOLUNTARILY.

BY ENTERING MY NAME BELOW, I AGREE TO THE TERMS
23. *

DATE:
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