Family information

Tell us about your family and we'll be in touch about visiting.

Your family

Mother

Mother's first name *

Mother's last name *

Mother's phone

Mother's email

Father

Father's first name

Father's last name

Father's phone

Father's email

Who would be helping teach at co-op? *

Mother Father Both Someone else

Home church *

Address

Street address *

City *

State *

ZIP *

Emergency contact

Please give someone who won't be at co-op with the children — the other parent, a grandparent, aunt, uncle or friend.

Name *

Phone *

Relationship to the child *

Children who will attend co-op

List every child who will come on co-op days, including babies and toddlers who need nursery care.

Child 1

First name *

Last name *

Birthday *

Gender *

Grade in fall 2027 *

+ Add a child who might join later

Children who might join later

Not on the waitlist. Only for children you are not signing up now but might in the future.

A little more

How did you hear about us?

Anything else?