COPY of Wait List Registration

COPY Wait List Request Form

Contact Information:

* Indicates required field

Father's Name *

First

Last

Mother's Name *

First

Last

Primary Contact Phone Number *

Secondary Contact Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

ACE classes are for preschoolers (3&4 year olds) through high schoolers. Nursery is available during class hours for children whose parents are fulfilling a teaching or assisting role. Please list nursery-aged children as well as school-aged children.

Children's Full Names, Dates of Birth, Grades for upcoming school year *

Please list possible class offerings or areas of teaching interest (subject/age range) *

REFERENCES

Pastoral Reference (Name, church name, phone number, and e-mail address if available) *

Current member of ACE, if available (Name, e-mail address, and phone number) *

By submitting this electronic wait list request form, I/we voluntarily consent to a representative from ACE Co-op contacting the reference(s) listed above.

Please select here to indicate agreement with the above statement. *

I/We agree

NOTE: Indication of interest is assumed to pertain to all children listed above and to be in reference to the upcoming school year unless otherwise noted below.

NOTES *

Submit

COPY Wait List Request Form

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