Family Interest Form for Divine Mercy Homeschool Co-op

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

**For best results, please complete this form on a computer rather than your phone!**

1. For "Parent On-Site" please enter the information for the parent who will be attending co-op weekly.

2. Please store the username/password you select, as this is how you will log in to the website in the future.

3. At the top of the large grey "Child Information" box, please use the   button to add additional children to your form.  Please include all children who will be attending co-op, including nursery age.  If you are expecting (congratulations!), please include them as well using the due date in the birthdate field.  This helps us to plan our nursery room for the year!

Family Interest Form Helpful Tips

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

indicates a required field

Parent On-Site Last Name Parent On-Site First Name Parent On-Site Email Family Username
Family Password
Confirm Family Password Spouse Last Name Spouse First Name Spouse Email If Spouse Email is entered above, should it also receive weekly email and forum notifications, etc.? Yes No Address City State / Province Alabama Alaska Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massaschusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Provided Below...

Country State / Province

Zip / Postal Code Timezone Japan (JST) Eastern European (EET) Central European (CET) Western European (WET) Atlantic (Canada) (AST) Eastern (US/Canada) (EST) Central (US/Canada) (CST) Arizona (US) (AZ) Mountain (US/Canada) (MST) Pacific (US/Canada) (PST) Alaska (US) (AKST) Hawaii (US) (HST) Cell Phone of Parent On-Site 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.

Spouse Cell 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.

Year you Started Homeschooling 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 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

Additional Questions

**Before continuing, please make sure you have used the button above to add all of your children to the application.** 1. Both of our programs begin the day with mass at 8:30.  Our half-day families are expected to stay through the noon prayer and announcements ending at approximately 12:10.  Our full-day families are expected to stay through the 3 o'oclock prayer and dismissal at approximately 3:05.  Would your family like to be enrolled in the full-day program or the half-day program? Full-day program (8:30-3:05)
Half-day program (8:30-12:10)
Dual credit classes only
Not returning for 2025-2026
2. If you have selected Nursery for any child you have registered please indicate if you will drop your child off in the nursery room or if your child will be with you during your teaching assignment. I will drop my child off in the nursery room. My child will be with me. I do not have a nursery-aged child. 3. Home Parish Sts. Simon and Jude Christ the Good Shepherd Presentation Regina Caeli Sacred Heart St. Anthony of Padua St. Elizabeth Ann Seton St. Ignatius of Loyola St. James St. John of the Cross St. Mary's St. Matthias St. Maximilian Kolbe St. Michael the Archangel St. Thomas the Apostle Other (Please enter below) 4. If you chose "Other" please specify your home parish below. 5. Parent On-Site Preferred First Name (if different from above, for name tag) 6. Emergency Contact Name
Please give the full name of an emergency contact for your family (other than the parent on site). 7. Emergency Contact Phone 8. Emergency Contact Relationship to Children 9. How did you hear about Divine Mercy Homeschool Co-op?  If someone referred you to us, please include their name so we can thank them. 10. Do you have any experience or training that you would like to use in the classroom or in helping the co-op community?  If so, can you please tell us more about your experience(s).  

Co-op Costs 2025-2026

Student Supply Fee

     $50 (half-day)  OR  $75 (full-day) per student (excl. nursery) covering the full year

     Supply fees are the minimum needed to run the co-op, and therefore we are unable to offer multiple-children discounts.

Donation to Sts. Simon & Jude Parish

     $75 (minimum) per family donation to Sts. Simon & Jude Parish

Registration & Technology Fee

     $30 per family registration & technology fee

Additional Possible Costs

     Additional costs such as course, lab, and/or textbook rental fees may apply for certain classes.  Purchase of textbook and/or supplemental resources may be required, particularly for core courses. 11. Agree to Fees
I will pay co-op fees as described above. I will also make a donation to Sts. Simon and Jude Catholic Parish in appreciation for letting the co-op use their facilities. I understand co-op fees are non-refundable.  (For more information, see Policies and Fees page.) I agree to pay the fees.
I do not agree.
12. Agree to Policies
I am aware that Divine Mercy Co-op is a homeschool program, enhancing subjects that are taught simultaneously at home. We, the parents, fully satisfy and comply with the homeschooling laws of Texas, with all the rights and privileges entitled to us as such. I understand I must remain on-site and am responsible for my children at all times while the co-op program meets. The co-op director and teachers will do everything they can to make this co-op a wonderful, enriching program for all families. As such, I will do all I can to support the co-op volunteers and my fellow homeschooling families. If any problems arise between enrolled children or parents which affect operations of the co-op, I will bring these matters immediately to the attention of the director. Further, if I have concerns regarding any of the teachers, I will notify the director promptly.  (For more information, see Policies and Fees page.) I agree with all of the co-op policies.
I do not agree.
13. Message to Divine Mercy Co-op Director