ACE CO-OP
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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 grad
e for the upcoming school year.
(Example: John Doe, 9/1/2005, 10th grade):
List Children:
*
NOTE: Indication of interest in joining ACE is assumed to pertain to all children listed and to be in reference to the upcoming school year unless otherwise noted below in the Notes section.
Please list areas/subjects of teaching interest or background:
*
Please indicate age group(s) you enjoy teaching/assisting (you can select more than one):
*
All Ages (Nursery-12th grades)
Nursery (Infants-2 years)
Preschool
Kindergarten-1st grades
2nd-5th grades
6th-8th grades
9th-12th grades
REFERENCES:
Pastoral Reference (Name, church name, phone number, and e-mail address)
*
If this person is related to you, please let us know.
Non-pastoral and non-related reference. List Name, Phone Number, and E-mail address:
*
This person should not be related to you.
If you know a current member of ACE, please list her/his full name.
*
If this person is related to you, please let us know.
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.
*
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