Request Membership for Agape Homeschool York Co-op

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

This registration form will require basic information along with a $15 registration fee.

Please Note: Add all children attending the co op and select the appropriate grade level that they will be entering in the 2024-2025 school year. Any families without a school age child will potentially be waitlisted, as school aged children will be given preference in registration.

Nursery- through age 1

Pre-School- ages 2 and 3

Pre-Kinder- age 4

Kinder- age 5

Grade levels 1 through 12 to follow suit.

Check here if you have read and agree to the TERMS OF SERVICE.

indicates a required field

Primary Last Name Primary First Name Primary Email Username
Password
Confirm Password Secondary Last Name Secondary First Name Address City 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.

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 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

Additional Questions

1. Please type below what specific course you are interested in teaching.

Payment Options

$15.00 – Newtek