Copy of Wait List Registration

ACE 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.

Required Children's Information
For each child, in the box below, please list name, date of birth including year, and grade for the upcoming school year.
(Example: John Doe, 9/1/2005, 10th grade):

List Children: *

How long have you homeschooled? *

Please list areas/subjects of teaching interest or background: *

Please indicate age group(s) you enjoy teaching/assisting (you can select more than one): *

REFERENCES:

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

Non-pastoral and non-related reference. List Name, Phone Number, and E-mail address AND how you know the person: *

If you know a current member of ACE, please list her/his full name. *

Reference contact agreement *

I/We agree that 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.

NOTES: Please include anything else you think we should know in regards to your family joining ACE. Thank you. *

Submit

ACE Wait List Request Form

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