Family Interest Form for Divine Mercy Homeschool Co-op

Fill out the form below and click the Continue button at the bottom.

**For best results, please complete this form on a computer rather than your phone!**

1. For "Parent On-Site" please enter the information for the parent who will be attending co-op weekly.

2. Please store the username/password you select, as this is how you will log in to the website in the future.

3. Just below the large grey "Child" box, please use the button to add additional children to your form. Please include all children who will be attending co-op, including nursery age. If you are expecting (congratulations!), please include them as well using the due date in the birthdate field. This helps us to plan our nursery room for the year!

Family Interest Form Helpful Tips

Check here if you have read and agree to the TERMS OF SERVICE.

indicates a required field

Parent On-Site Last Name Parent On-Site First Name Parent On-Site Email Username
Password
Confirm Password Spouse Last Name Spouse First Name Spouse Email If Spouse Email is entered above, should it also receive weekly email and forum notifications, etc.? Yes No Address City State / Province Zip / Postal Code Timezone Cell Phone of Parent On-Site Enable Text Messages

I am able and agree to receive text messages at the number above.
I understand carrier message and data rates may apply.

Spouse Cell Phone Enable Text Messages

I am able and agree to receive text messages at the number above.
I understand carrier message and data rates may apply.

Upload Family Photo (Optional) .jpg, .gif or .png

Children

Add Child

Show Child information to other Families
Note: Child information will be available to instructors in either case.

Section(s) Year you Started Homeschooling Family Business/Services Privacy: Include my family information in the membership on-line directory? Yes No

Additional Questions

**Before continuing, please make sure you have used the

button above to add all of your children to the application.** 1. Both of our programs begin the day with mass at 8:30. Our half-day families are expected to stay through the noon prayer and announcements ending at approximately 12:10. Our full-day families are expected to stay through the 3 o'oclock prayer and dismissal at approximately 3:05. Would your family like to be enrolled in the full-day program or the half-day program? Full-day program (8:30-3:05)
Half-day program (8:30-12:10)
2. Parent On-Site Preferred First Name (if different from above, for name tag) 3. Emergency Contact Name
Please give the full name of an emergency contact for your family (other than the parent on site). 4. Emergency Contact Phone 5. Emergency Contact Relationship to Children 6. Home Parish 7. If you chose "Other" please specify your home parish below. 8. How did you hear about Divine Mercy Homeschool Co-op? If someone referred you to us, please include their name so we can thank them. 9. Do you have any experience or training that you would like to use in the classroom or in helping the co-op community? If so, can you please tell us more about your experience(s). 10. If you have selected Nursery for any child you have registered please indicate if you will drop your child off in the nursery room or if your child will be with you during your teaching assignment. Teaching Preferences
Below is a list of course offerings. Due to the nature of some of the shorter and/or less rigorous courses, it is possible some parents will need to volunteer in more than one course. Please share your top three teaching preferences below (If you are signing up for half-day, then only select AM courses). Though we certainly appreciate a willingness to jump in anywhere needed, for planning purposes it is most helpful to have an idea of where your greatest interests are. 11. First Choice 12. Second Choice 13. Third Choice 14. Comments for the director about teaching preferences.

Co-op Costs 2024-2025

Student Supply Fee

$50 (half-day) OR $75 (full-day) per student (excl. nursery) covering the full year

Supply fees are the minimum needed to run the co-op, and therefore we are unable to offer multiple-children discounts.

Donation to Sts. Simon & Jude Parish

$75 (minimum) per family donation to Sts. Simon & Jude Parish

Registration & Technology Fee

$30 per family registration & technology fee

Additional Possible Costs

Additional costs such as course, lab, and/or textbook rental fees may apply for certain classes. Purchase of textbook and/or supplemental resources may be required, particularly for core courses. 15. Agree to Fees
I will pay co-op fees as described above. I will also make a donation to Sts. Simon and Jude Catholic Parish in appreciation for letting the co-op use their facilities. I understand co-op fees are non-refundable. (For more information, see Policies and Fees page.) I agree to pay the fees.
I do not agree.
16. Agree to Policies
I am aware that Divine Mercy Co-op is a homeschool program, enhancing subjects that are taught simultaneously at home. We, the parents, fully satisfy and comply with the homeschooling laws of Texas, with all the rights and privileges entitled to us as such. I understand I must remain on-site and am responsible for my children at all times while the co-op program meets. The co-op director and teachers will do everything they can to make this co-op a wonderful, enriching program for all families. As such, I will do all I can to support the co-op volunteers and my fellow homeschooling families. If any problems arise between enrolled children or parents which affect operations of the co-op, I will bring these matters immediately to the attention of the director. Further, if I have concerns regarding any of the teachers, I will notify the director promptly. (For more information, see Policies and Fees page.) I agree with all of the co-op policies.
I do not agree.
17. Message to Divine Mercy Co-op Director