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

 

Welcome to the online portion of the NEW MEMBER registration process for Upstate Homeschool Co-op 2014-2015.

Current members: Refer to the registration email or registration instructions on the member side of the website and contact the Membership Administrator at tpitman@upstatecoop.org

This registration is for the school year: 2014-2015

Upstate Homeschool Co-op requires the following registration forms to be filled out prior to approving membership.  Since you are filling out Registration Forms online, it will not be necessary to print out every form (see Terms of Service).  ***IMPORTANT! *** Agreement to the online forms will serve as your "digital signature" so please read carefully before agreeing at the bottom ***

All forms linked below are also available under the 2014-2015 Handbook link on the home page.

 

* indicates a required field
*Last Name:
*Primary First Name:
Spouse First Name:
*Address:
*City:
*State/Country:
For United States and Canada:
For Other Countries:
State/Province:
Country:
*Zip/Postal Code:
*Area Code:
*Phone:
*Email:
Additional Email Address(es):
Separate multiples with a comma.
If additional email address(es) are entered above, should they also receive weekly email and forum notifications, etc.?
Yes     No
Children:
Show Children Info to Other Families:
*User Name: (must be 3-15 characters long)
*Password: (must be 3-15 characters long)
*Confirm Password:
 
*Weekly Email Update: Would you like to receive a weekly email update?
Yes    No
Classifieds - Many Emails: Would you like to receive ALL classified notifications IMMEDIATELY via email:
Yes    No
Classifieds - Daily Digest: Would you like to receive ALL classified notifications ONCE A DAY via email?
Yes    No
Message to Group Administrator:

Additional Questions:

1.
*

Please select the type of Family you represent:

Returning Family New Family
2.
*

Under which South Carolina Homeschool option are you legally registered to homeschool?

Option 1 Option 2
Option 3 None yet- only K4 or K5 student
3.
*

If you are registered under Option 3, list the name of your accountability association.  If you are registered under options 1 or 2, list n/a.

If a NEW FAMILY, please complete the New Family Introduction section (questions 4-9) below (If a Returning family, please skip down to Basic Contact Information - Step # 10)

 

New Family Introduction


We welcome new families to Co-op and we look forward to getting to know you and your children. In order to begin that process, please answer the following questions for us.  New families’ pre-registration will not be accepted without the following completed information. Thank you!

Acceptance into the Co-op is contingent upon follow-up of references.


You must have a pastor, church leader, or current Upstate Homeschool Co-op member complete this Referral Letter and sign.  It must be emailed by the reference to an Administrator prior to registration day.  Instructions are in the form.

 

 

Basic Contact Information

4.

Mother Work Phone:

5.

Mother Cell Phone:

6.
* Father Work Phone:
7.
Father Cell Phone:
8.
* Emergency Contact name & relation (other than parent):
9.
* Emergency Contact Home Phone:
10.
Emergency Contact Cell Phone:

Please read our Statement of Faith on the linked page (you may choose to agree or cancel this registration at the end of the Registration Process at the bottom of this page for all forms).

Please read our Volunteer Agreement on the linked page (you may choose to agree or cancel this registration at the bottom).

Please read the Financial Agreement on the linked page (agree at bottom).

 

 

 

Allergy And Medical Condition Form


Please fill out all required items and any applicable areas below:

11.
* Medical Insurance Provider
12.
* Group #
13.
* Policy #
14.
Hospital Preference
15.
Medical Concern (Please state child(ren)'s name and condition if applicable)
16.
Medication to be administered (if needed)
17.
Medical Protocol to follow should a problem arise (please include symptoms to look for as well as treatment plan you would like us to follow, complete with who to contact)

 

 

Release of Liability and General Agreement

18.
*
The following family members:
(please list first and last name of each family member
who is likely to come on campus - i.e. parent,  legal guardian, each child in the family (even those not attending Co-op) and extended family)

(hereinafter referred to as "Family") in consideration of being permitted to participate in The Upstate Homeschool Co-op, agree to the Release of Liability and General Agreement (agree at bottom).

 

 

Elementary/Middle School Contract
 

In addition to parents' digital signature at the bottom, on the first day of class each student in grades 3 through 12 will be asked to review and sign this contract with a UHC teacher. 

 

19.

Please list Elementary/Middle School student(s) in the home that will be entering Upstate Homeschool Co-op in grades 3 and up for the school year 2014-2015:

20.
*

Elementary/Middle school students grades 3 and up, and all parents of Elementary or Middle school students  please read the

Elementary Parent Contract

MS Contract

and agree below.

yes - I agree (grades 3 and up only) no - cancel this registration
N/A (grades 2 and below or HS Students only)

 

 

 

High School Contract

21.

Please list High School student(s) in the home that will be attending Upstate Homeschool Co-op for the school year 2014-2015:

22.
*

All High School-age students (listed above) have read the High School Handbook and as a student of The Upstate Homeschool Co-op, agree to comply with its terms, conditions, and privileges. Your student will also be asked to sign this on the first day of class.

yes - I agree no - cancel this registration
N/A - (Elementary/Middle School Students only)

 

 

 

Class Registration Forms


Please complete and print out the applicable class registration forms for your students and bring to on-site registration. These forms are available in the 2014-2015 Handbook on the left navigation menu of the website home page.

 

 

 

Agree to below and click Continue to complete Registration Process:

 

Since you are filling out Registration Forms online, it will NOT be necessary to print out every form.  ***IMPORTANT! *** Agreement to the online forms will serve as your "digital signature" so please read carefully before agreeing at the bottom ***

23.
*
  • I hereby affirm the Statement of Faith
  • I have read the Parent Assistant Requirements and agree to fulfill my service responsibility
  • I have read, accept, and will abide by the Financial Policies of the Upstate Homeschool Co-op
  • I hereby authorize Upstate Homeschool Co-op to seek medical attention for my child(ren) should the need arise (Allergy and Medical Condition form)
  • I hereby Release Upstate Homeschool Co-op from all liability to my family for any loss or damage (Release of Liability and General Agreement form)
  • I have read the Elementary/MS Student/Parent Contract and I agree that I will oversee my student and help him/her keep the terms, conditions, and privileges described therein
  • My High School-age students have read and will comply with the terms of the High School Handbook
yes - I agree to all of the above no - cancel this registration
24.
* Spouse is in agreement:
yes - I agree to all of the above no - cancel this registration
N/A (single parent)

Type in the text that you see above: