Register

Parents' Names(required)

Email(required)

Address(required)

Phone Number

Name of parent attending Co-Op(required)

Cell phone number during Co-Op(required)

1st Child Name, Birthdate, Grade, and any allergies

2nd Child Name, Birthdate, Grade, and any allergies

3rd Child Name, Birthdate, Grade, and any allergies

4th Child Name, Birthdate, Grade, and any allergies

5th Child Name, Birthdate, Grade, and any allergies

6th Child Name, Birthdate, Grade, and any allergies

7th Child Name, Birthdate, Grade, and any allergies

1st Job Choice

2nd Job Choice

3rd Job Choice

I certify that the information I have provided on this contract is correct and complete, and that I am only registering children for whom I am the legal guardian.(required)

I have read Living Water handbook and have reviewed the Living Water Policies and Expectations with my children.(required)

I agree to abide by the Living Water rules and expectations.(required)

I agree to adhere to the dress and conduct codes, and to enforce them with my children.(required)

I agree to remain within Living Water boundaries the entire time my children are at co-op unless received approval from the Living Water Board. (required)

I agree to be responsible for the behavior of the children in my charge. I understand that if anyone in my family violates the rules, it will jeopardize our participation in the co-op and that the Living Water Board reserves the right to deny participation to any student or family.(required)

I agree and understand that neither the co-op, its members, nor the facility ownership are liable for any injuries that incurred during co-op events. (required)

I agree to pay for any item that my children or I damage or break at co-op(required)

I understand that I will be required to fulfill the co-op job that will be assigned to me, and to be available to provide additional assistance if needed.(required)

I agree to pay tuition on time and understand that all tuition is nonrefundable.(required)

By checking, I understand and agree to abide by the contract terms listed above. I agree with the Statement of Faith I have read and will fully comply with all Living Water Homeschool policies for this school year. As a volunteer, I will be dependable, reliable, and professional in representing Living Water Homeschool. I am drug-free. (required)

Digital Signature(required)

Date(required)

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