Registration Home / Registration Fields marked with a * are required. Enrollment Guidelines Enrollment is open to families with at least one attending child who will be between the ages of 2 – 18 (as of September 1st) in any given session. Junior sibling members (nursery ages 6 months – 3 years) are accepted based on availability, if the above requirement is met. Priority is given to currently attending families, followed by families on the wait list, with open enrollment starting thereafter. Cost 14 Week Session Full Membership (Ages 2-18) – $175 1st Child – $145 2nd Child – $130 Each Additional Child – $35 Junior Sibling Membership (Nursery Only, 6-23 months) – Muon Ambassador Program™ (Ages 15-18) – We are seeking Muon Ambassadors to lead various activities and events throughout the Co-op year. Ambassador Leadership activities include organizing Little Theater™ Productions, prepping for Co-op Marketplace™, facilitating Co-op Auctions™, managing the Little Library™, coordinating Group Gathering, making Co-op Club announcements, posting Book Reviews to the Co-op Website, and more! All Muon Ambassadors earn Co-op Dollars for their work which can be spent at the various events at Co-op. Please Contact Us to sign up! Attending Parent/Guardian Contact Information First Name of Attending Parent/Guardian * Last Name of Attending Parent/Guardian * Email of Attending Parent/Guardian * Phone for Attending Parent/Guardian * Non-Attending Parent/Guardian Contact Information First Name of Non-Attending Parent/Guardian Last Name of Non-Attending Parent/Guardian Email of Non-Attending Parent/Guardian Phone for Non-Attending Parent/Guardian Family Mailing Address Address * City * State * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampsire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip / Post Code * Attending Children Please refer to the Membership Payment Chart for assistance in completing this section, and kindly list ALL of your children you will be bringing to The Community Co-op. Child 1 - First Name * Child 1 - Last Name * Child 1 - Age (as of Sep 1) * Child 1 - Date of Birth * Child 1 - Member Status * Junior Member - $35 1st Full Member - $175 2nd Full Member - $145 3rd+ Full Member - $130 Select Child 2 - First Name Child 2 - Last Name Child 2 - Age (as of Sep 1) Child 2 - Date of Birth Child 2 - Member Status Select Junior Member - $35 1st Full Member - $175 2nd Full Member - $145 3rd+ Full Member - $130 Child 3 - First Name Child 3 - Last Name Child 3 - Age (as of Sep 1) Child 3 - Date of Birth Child 3 - Member Status Select Junior Member - $35 1st Full Member - $175 2nd Full Member - $145 3rd+ Full Member - $130 Child 4 - First Name Child 4 - Last Name Child 4 - Age (as of Sep 1) Child 4 - Date of Birth Child 4 - Member Status Select Junior Member - $35 1st Full Member - $175 2nd Full Member - $145 3rd+ Full Member - $130 Child 5 - First Name Child 5 - Last Name Child 5 - Age (as of Sep 1) Child 5 - Date of Birth Child 5 - Member Status Select Junior Member - $35 1st Full Member - $175 2nd Full Member - $145 3rd+ Full Member - $130 Child 6 - First Name Child 6 - Last Name Child 6 - Age (as of Sep 1) Child 6 - Date of Birth Child 6 - Member Status Select Junior Member - $35 1st Full Member - $175 2nd Full Member - $145 3rd+ Full Member - $130 Payment Totals Credit for Deposit Sub Total Total Membership Agreements I/We, the undersigned, have read and agree to, the foregoing Member Agreements, Policies and Procedures outlined in the the most current Co-op Handbook available at nearwesthomeschoolers.org, and agree to abide by the agreements, policies, practices outlined within it. In the event of illness or accident, I/We request that measures be instituted without delay, in accordance with the Emergency Medical Form(s) provided, as judgment of medical personnel dictates. Our digital signature(s) contained herein shall be legally binding equivalents to a handwritten signature. Lastly, I/We further agree to have fun and smile as frequently as possible, to the extent I/We are able. After all, that is what homeschooling is all about. * Attending Parent/Guardian Signature * Non-Attending Parent/Guardian Signature Child 1 - Signature * Child 2 - Signature Child 3 - Signature Child 4 - Signature Child 5 - Signature Child 6 - Signature Date * Please enter the Co-op password here. *