Mid County Homeschool Co-op 2016/17

A Ministry of Hillcrest Baptist Church

Family Information Form

Mid-County Homeschool Co-op
Family Information Form


Names of Parents________________________________________________

Address________________________________________________________

City/Zip Code___________________________________________________

Phone___________Cell___________E-mail___________________________

Children __________________Grade_____Age____Birthdate_____________
     
                __________________         _____      ____                ____________

                __________________         _____      ____                ____________

                __________________         _____      ____                ____________

                __________________         _____      ____                ____________

                __________________         _____      ____                ____________

                __________________         _____      ____                ____________

                __________________         _____      ____                ____________

Church Membership_______________________________________________
How long have you homeschooled?__________________________________
Why have you chosen to homeschool?________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________

Who recommended the Mid-County Co-op to you?______________________
I have read and am in agreement with the Mid-County Co-op Foundation Statements.
________________________________________
Signature