Join The Wait List

Parent Attending HSN

Phone Number

Email

Address

City

State & Zip

Church Affiliation

Religious Preference

If other, please specify

Martial Status

Have you or your spouse ever been arrested?

If yes, please explain when, why, and the outcome.

What year did you start homeschooling?

Name of family business or service.

Hobbies, interests, or teaching experience.

Areas interested in serving/contributing at Co-op: (subjects to teach, activities/committees to plan/serve on, talents, etc.) 

What hours are you interested in attending HSN?

First and Last Name

Address (if different from above)

Phone Number

Email

First and Last Name

Date of Birth

Grade Level (for August 2025)

Email (if different from above)

Phone Number (if different from above)

Health, Behavior, or Learning Challenges?

First and Last Name

Date of Birth

Grade Level (for August 2025)

Email (if different from above)

Phone Number (if different from above)

Health, Behavior, or Learning Challenges?

If you have additional students please list requested information for each student.