ACE CO-OP
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Wait List Request Form
Contact Information:
*
Indicates required field
Father's Name
*
First
Last
Mother's Name
*
First
Last
Primary Contact Number (Home/Cell)
*
Secondary Contact Number (Home/Cell)
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Children's Information:
For each child, please list name, date of birth including year, and grade for the upcoming school year. (Example: John Doe, 9/1/2002, 10th grade)
*
NOTE: THIS INFORMATION IS REQUIRED.
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.
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 2019-2020 school year unless otherwise noted below.
NOTES
*
Anything else you think we should know?
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