Family Last Name:

Father's Name:

Mother's Name:

Email address:

Home Address:

Cell phone:

Name and birth dates of children:

Do your children have any known allergies?

Do you give permission for photos of your children to be used on our co-op website and social media?

How did you hear about our co-op:

Why are you interested in joining Eagles' Nest Homeschool Co-op:

We are a Christian based co-op and as such our faith is very important to our families. Please describe who Jesus is to you and your family.

Have you been involved in any other co-ops - if so, what was your experience there?

With which program(s) are you registering each of your children? Nursery (0-2), Sprouts (3-5), Elementary A.M. (5-12), Lower Elementary P.M. (5-8), Upper Elementary P.M. (9-12), Flight School (Middle School) A.M. and P.M.