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New Member Questionnaire

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Member Information Form
1. *

Please enter your first and last name. 
2. *

Please enter your email address.
3. *

What is the best phone number to reach you?
4. *

Please list your child(ren) by name and age. If they currently attend any educational organizations, co-ops, or schools, please include that information.
5. *

Are you currently homeschooling?
Yes No
Not yet. We will be in the upcoming school year.
6. *

If you are pursuing an alternative educational path, please share a few reasons why?
7. *

What types of support from The Field Co-op interest you the most? Check any that apply.

 (1 required)
Social support/friendships for my child(ren) Educational support for my child(ren)
Social support for me and/or my partner
8. *

What types of activities are you most interested in for your family?

 (1 required)
Field trips Service projects
Park meet ups Hikes
Book clubs for my children Classes/workshops
9. 

Are there any activities you are interested in for your family that are not listed above that you'd like to add? If so, please describe or list them below.
10. *

Which type of activity or activities are you most interested in helping to plan?
11. *

There are no "attendance requirements" for field trips and events, only a shared interest in building community. Do you anticipate your family will be able to attend at least 2 events per semester?
Yes Most likely
Time will tell No
12. *

What interests or skills do you have? This can be professional or not. We are just interested in getting to know you better and learning what you may be able to contribute to our group in terms of your background, hobbies, or professional life. (Just a list is fine if that's easier than writing a paragraph.)
13. *

If you have a partner, what are their interests, skills and/or field of work?
14. *

Please find below the fee structure of The Field Co-op:

Families who pay $295 per year agree to plan one field trip per school year with the option for planning more (or other gatherings/events).

Families who pay $495 have no obligation to plan anything (but are welcome to contribute ideas or planning if so inspired!)

Your membership fee covers all member benefits until June 1, 2026.

Please note: You may email ashley@thefieldcooperative.com if you need to discuss payment options or accomodations. Remaining affordable to as many families as possible, within the bounds of our website, insurance, rent, and administrative costs, is important. 

Do you understand and agree The Field Co-op's fee structure?

 (1 required)
Yes No
15. *

If you have an Instagram account, please list the name you use below. If you do not, please just write N/A or not applicable.
16. *

If you have a Facebook account, what is the name you use? If you do not, please just write N/A or not applicable.
17. *

How did you hear about The Field Co-op?

Please read and review The Field Co-op Handbook before our Q + A call. Thank you!
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