Registration

Name *

First

Last

Email *

Number of Children

Selected Value: 1

How many children do you want to register for our co-op?

Names, Ages, and Favorite Subject of Children (for registration) *

Include information for all children you'd like to register. Example: Jane Doe 8 Math, John Doe 5 Science

Homeschool Experience *

None
I currently homeschool

Class Interest (check all that apply) *

Core Classe(s) (Math, Science, English, History)
Bible (Devotions, Unit Studies etc...)
Electives
I am not sure yet

Nursery *

We will have a nursery available. If you require nursery support, please check the ages that apply to your family. This is a great help in our planning and preparation.

Class Leader Interest *

Yes
No
Maybe, I need to learn more

As a parent, what subjects do you need support in with respect to home educating your student?

We want to know more about you! Please tell us more about yourself. Why are you currently homeschooling or interested in homeschooling? Do you attend a local church? What are your educational goals for your children? *

Any additional comment or messages

Class Location:
Magnolia United Methodist Church
1764 Wilroy Road
Suffolk, VA 23434