PATH Co-op - PATH Homeschool Co-op Family Registration

First Name

Last Name

Birthdate

Grade

Student Email/Username

Child Phone (Optional)

Enable Text Messages

Child is able and agrees to receive text messages at this number.
We understand carrier message and data rates may apply.

Medical Notes/Allergies?
It will always be our first priority to find you, the parent, on-site if your child has a need for medical treatment. However, if there is a treatment we could start as soon as possible, such as helping the child find their inhaler in their backpack, we would like to be aware of it for the benefit of your child. Please list any medical conditions for your child, any symptoms that may require treatment, and the treatment protocol you would like to have followed. Yes No

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

PATH Homeschool Co-op Family Registration

Children

Additional Questions

No
First Aid Certified
CPR Certified - Red Cross
CPR Certified - American Heart Association
AED Certified
I am a nurse
I am a doctor

"Your word is a lamp for my feet, a light on my path." Ps. 119:105

PATH Homeschool Co-op

PATH Homeschool Co-op

PATH Homeschool Co-op Family Registration

Children

Additional Questions