Walking Wise Homeschool Co-Op

Please Read This First

Fill out the form below and click the Continue button at the bottom.

ATTENTION PARENTS! Before you complete this application. We are looking for familes that are:

1. Homeschooling children in Kindergarten and up

2. Actively involved in a Bible-based, Christian church

3. Willing to intentionally engage as a helper or teacher in our classes

If this list describes you, please proceed. We are excited that you are considering membership with Walking Wise! Our purpose is to support and encourage families that have chosen to educate their children at home. WW membership benefits include (but are not limited to): access to our private Members-Only Facebook group, Weekly digest emails, Co-op classes, Teen Nights, Mom's Night Out, holiday parties, Co-op spirit-day activities (such as Tacky Tourist Day, etc), and end-of-semester showcase. Some activities and classes will have additional fees.

indicates a required field

Primary Last Name Primary First Name Primary Email Family Username
Family Password
Confirm Family Password Secondary Last Name Secondary First Name Secondary Email If Secondary Email is entered above, should it also receive weekly email and forum notifications, etc.? Yes No Address City County State / Province Zip / Postal Code Timezone Phone Enable Text Messages

I am able and agree to receive text messages at the number above.
I understand carrier message and data rates may apply.

Phone 2 Enable Text Messages

I am able and agree to receive text messages at the number above.
I understand carrier message and data rates may apply.

Fax

Upload Family Photo (Optional) .jpg, .gif or .png

Children

Add Child

Show Child information to other Families
Note: Child information will be available to instructors in either case.

Church Affiliation Curriculum/Teaching Style Year you Started Homeschooling Family Business/Services Privacy: Include my family information in the membership on-line directory? Yes No Weekly Email Update: Would you like to receive a weekly email update? Yes No

Forum Emails:

Would you like to receive forum notifications via email (not just the ones you create)? Yes No

Many Emails: Would you like to receive notifications IMMEDIATELY? Yes No

Delivery Type Whole Thread New Part Only

Daily Digest: Would you like to receive notifications ONCE A DAY? Yes No

Classifieds Emails:

Classifieds - Many Emails: Would you like to receive ALL classified notifications IMMEDIATELY via email: Yes No Classifieds - Daily Digest: Would you like to receive ALL classified notifications ONCE A DAY via email? Yes No Message to Homeschool Group Administrator:

Additional Questions

1. How did you hear about our co-op? Please select all that apply.
(1 required) Word of mouth
Website
Facebook
Another organization
Other
2. Please explain why you want to join our co-op. Social? Electives? 3. Have you ever homeschooled before? If so, how long? 4. Please list your spouse's full name if not already listed on this application. If you do not have a spouse just list N/A. 5. Have any of your children ever been expelled or suspended from public or private school? If so, why? 6. Has your child had any history of problems with bullying, violence, or threats? By them or to them? Please explain. 7. In your immediate family, is your child exposed to homosexuality, same-sex attraction, or transgender issues? If yes, please explain. 8. Is your child exposed to gender-related issues or homosexuality within your extended family? If yes, please explain. 9. Do any of your children smoke, vape, have a history of drugs or medical abuse? Please explain. 10. Students are not allowed to have cell phones or gaming devices on their person before, during, and after sessions. Parents may use them in class for educational purposes or emergencies. Is your family able to abide by this? If not, please explain. 11. Favorite age to work with: Nursery
Pre-school
K-1
2-4th
5-8th
9-12th
12. Please describe your family's involvment in your local church (youth group, leadership roles, etc). If you are not a current member of a church, please explain why, 13. By typing my name below, I acknowledge I have received and read the Handbook and understand my responsibilities with the group. I have also reviewed the student responsiblities and discipline policy with my children. 14. Please tell us about your personal relationship with Christ. 15. By typing my name below, I acknowledge I that I have read and will uphold the Statement of Faith 16. By typing my name below, I give permission to use photographs taken at co-op in printed and electronic publications shared among its members. This may include, but not limited to a group directory or yearbook. 17. By typing my name below, I acknowledge, appreciate and agree that:

1. Participation included possibility of exposure to and illness from infectious diseases including but not limited to MRSA, influenza and Covid-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness or death does exist and,

2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEEES or others, and assume full responsibility for my participation, and,

3. I willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against infectious diseases. If, however, I observe and any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately and,

4. I, for myself and on my behalf of my heirs, assigns, personal representatives and next of kin, HEARBY RELEASE AND HOLD HARMLESS THE WALKING WISE HOMESCHOOL CO-OP AND CAMP BETHEL, their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers and if applicable, owners and lessors of premises used to conduct the event. (“RELEASEEES”), WITH RESPECT TO ANY AND ALL ISLLNESSES, DISABILITY, DEATH or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCMENT. 18. In consideration of the family named below (the “Family”) being any person of that immediate family permitted to participate in the field trip or any time of extracurricular activity with or organized by Walking Wise Homeschool Co-op (the “Field Trip”), the undersigned, parent(s) or legal guardian(s) of the Family and participants, hereby agree(s) to the following terms and conditions set forth below:

1. Participation: Permission is granted for the Family to participate in the Field Trip with the understanding that the Family is not mandated to attend this field trip. I/We understand and acknowledge that certain risks are inherent in this type of excursion and I/we assume liability and responsibility for any such risks associated with participation in the activity.

2. Expectations: I/We understand and acknowledge that ALL members of the family are expected to abide by all Co-op and host facility regulations during the course of the activity. I/We agree to direct the Family to cooperate with the directions and instructions of the supervisory personnel in charge of the Field Trip.

3. Hold Harmless: I/We acknowledge that, as a condition of the Family’s participation in this activity, I/we hold harmless and waive any and all claims against Walking Wise Homeschool Co-op, Camp Bethel, or host facility, its board member, employees, agents, and volunteers, including, but not limited to, claims arising out of any ordinary negligence of any board member, employee, agent, student or volunteer of the Walking Wise Homeschool Co-op or Camp Bethel, or any loss or damage to personal property occurring during or by reason of the Student participating in this activity.

4. Release from Third-Party Liability: I/We understand that Walking Wise Homeschool Co-op and Camp Bethel is not an agent of, and has no responsibility for, any third party including without limitation any sponsor or program that may provide any services, equipment, training or activities associated with the above mentioned activity.

5. Indemnification: As a condition of the Family’s participation in this Field Trip, I/We indemnify Walking Wise Homeschool Co-op and Camp Bethel for all claims resulting from the family’s participation in the activity including but not limited to any injury, accident, illness, or death, or any loss or damage to personal property.

6. Medical Care: I/We consent to any of the co-op volunteers or Camp Bethel staff, employees, agents and representatives of Walking Wise Homeschool Co-op or Camp Bethe administering or consenting to the administration of such emergency medical care to the Family as such person deems appropriate in the circumstances, and hereby authorize medical treatment in case of emergency.

7. Medical Insurance: I/We understand and acknowledge that neither Walking Wise Homeschool Co-op nor Camp Bethel does not carry or maintain health, medical, or disability insurance coverage for the Student and therefore agrees to assume the responsibility for such insurance coverage on the Family.

8. Medical Conditions: I/We agree that knowledge, prevention and treatment of any existing medical or physical conditions are the sole responsibility of the Family, specifically the guardian(s). Walking Wise Homeschool Co-op nor Camp Bethel will make decisions regarding participation of events if conflict due to an existing medical or physical condition exists, that is the sole responsibility of the parent/guardian.

9. Severability: If any provision of this agreement is held invalid or unenforceable, the remainder of this agreement shall nevertheless remain in full force and effect. If any provision is held invalid or unenforceable with respect to particular circumstances, it shall nevertheless remain in full force and effect in all other circumstances.

10. Voluntary Agreement: The Family and specifically the parent(s)/guardian(s) acknowledge that they have read the “Permission, Waiver, Release and Indemnity Agreement” and are aware of the legal consequences of signing this binding document. My signature below indicates that I have read and freely signed this agreement. I further certify that I am legally competent to sign this agreement.

List names of all family members in the space below: 19. By typing my name below, I agree to complete a background check using the link that Walking Wise Homeschool Co-op will provide upon my registration. I agree to complete it within 5 days of receiving the link.

Payment Instructions

Registration for the FALL 2024 semester is $75. If you choose to pay online, there will be an addtional $3 convenience fee. Once you are enrolled, our Treasurer will send you a link with payment options. Any families that have financial hardships please contact one of the board members.

***Please Read This First***

Children

Additional Questions

Payment Instructions

Please Read This First