A Co-op or Group Representative

* indicates a required answer.

 

Please complete this form if you are a leader of an educational co-op, hybrid school, or community and would like HAHA to share your group information with our members. 

DO NOT complete this form if you are teaching a stand alone class for the homeschooling community. That is a separate form. 

1. *

Organization Name:

2. *

Contact person (Name and phone): 

3. *

Contact person email:

4.

Organization Website: (if available) 

5.*

Enrichment or Academic? (check all that apply)

 (1 required)
Enrichment Academic
6.*

Ages served: (check all that apply)

 (1 required)
Nursery Pre-K
K 1st
2nd 3rd
4th 5th
6th 7th
8th 9th
10th 11th
12th All of the above
7. *

Cost per semester: 

8. *

Location of meeting (Name and address):

9.*

Day(s) that you meet:

 (1 required)
Monday Tuesday
Wednesday Thursday
Friday Saturday
Sunday
10.*

How often do you meet?

 (1 required)
Weekly Biweekly
Other (explain below)
11. 

Please explain "Other" answer above.

12.

Do you have provisions for special needs students?

Yes No
13.*

How would you describe your organization?

 (1 required)
Religious Secular
14.

Do you require a Statement of Faith to be signed?

Yes No
15.

Do you allow drop-off students?

Yes No
16. *

What is the average number of families you have per semester? 

17. 

If your group leadership would like to be notified of HAHA training workshops for leaders and gatherings/support groups for leaders, please list your leaders names and email addresses below. 

18.

Are you currently accepting members for the 2019/20 Fall Semester? 

Yes No