Membership Status

Last Name

Father's First Name

Mother's First Name

Street Address

City

State

Zip Code

Primary Phone Number

Father's Cell Phone

Mother's Cell Phone

Primary Email Address

Occupation

Home Business

Church Name

Children's Names, Biological Gender, Date of Birth

Please let us know if any of your children have a diagnosis or learning difficulty that affects their learning. (ex. ADHD, dyslexia, autism, etc.)  This helps the teachers be able to teach effectively and help their students be successful in their classes.  Please put NA if this doesn't apply to your family.

Acknowledgement:
I have read and discussed with my spouse the Association’s Statement of Faith and understand
that the Association is a Christian organization. I have also read and discussed the Association’s
Code of Conduct and Organization with my spouse, and we agree to abide by the Code of
Conduct and Organization. I and my spouse also agree that RHSA does not provide or organize
transportation to and from RHSA events and that RHSA is not liable for any personal injury or
property loss that might occur when one RHSA family transports members of another RHSA
family. Such transportation is a private agreement between the parties and does not involve
RHSA.

Date

1. Service Hours Agreement
I understand the RHSA is a cooperative organization that requires my fulfillment of  1 hour per week for 32 weeks
of service hours throughout the year,. In lieu of service hours, I can submit a $300 payment,
at the time of registration. I understand that my failure to fulfill the Service Hours Agreement
will result in the forfeiture of the opportunity to register for Co-op the following year. Families
with students in junior high and high school classes can have the student sign up for a service
job.

2. Parent/Student Handbook
I have read and understand the current Parent/Student Handbook. I agree to abide by the
guidelines and understand that failure to do so may result in dismissal from Co-op.

Each individual student, regardless of age, must themselves sign below. I have read completely
(or have had read to me) the Handbook student sections and agree to abide by the guidelines
and understand that failure to do so may result in dismissal from Co-op.
Student____________________________________________Date_____________
Student____________________________________________Date_____________
Student____________________________________________Date_____________
Student____________________________________________Date_____________
Student____________________________________________Date_____________
Student____________________________________________Date_____________

3. Statement of Faith and RHSA Code of Conduct and Organization
I have read the RHSA Statement of Faith and understand that classes are taught from a biblical
worldview and that teachers have the freedom to pray during class. I agree to abide by the RHSA
Code of Conduct and Code of Organization.

4. Payment of tuition
I understand that by enrolling my child/children in the RHSA Teaching Co-op, I am
guaranteeing that I will pay all monthly tuition in accordance with the payment schedule. If I
withdraw my child/children before the end of May or if my child is dismissed from a class or
from Co-op for any reason, I understand that I forfeit supply fees and the May Tuition Deposit
for that class.

5. Review with Co-op Director
I have reviewed the Handbook and this Contract, and have contacted the Director with any
questions or concerns.

I am enrolling my child(ren) in the RHSA teaching co-op. I have read and indicate my
understanding of the following statements by selecting yes for each of the following statements. Where needed, these statements
have been discussed with my child(ren). All statements can be found in the Parent/Student
Handbook. 

I understand that parents, students, and anyone with me cannot wear skirts, dresses, and
shorts shorter than 5 inches above the knee. Yoga pants, leggings and the like must have a shirt
that covers the bottom. No undergarments, midriff, skin tight or see-through clothing allowed. If
out of compliance, you will be asked to go home and change clothes.

Classes not dropped before the first day of class will incur September tuition.

Please email the registrar if adding or dropping a class or formally withdrawing from RHSA. Informing the teacher does not
drop a student from the class. Families will continue to be responsible for monthly tuition unless the registrar has been notified. An add form and drop form is available under member resources for your convenience and can be used in place of email.

Tuition payments are made in 9 equal payments (this includes the May Tuition Deposit)
September-April regardless of the number of weeks in a month.

RHSA communicates information to our families via email.

Our academic policy is in place to uphold the integrity of our classes. Students are required
to submit work that is complete, legible, on time and original. Late work will not receive full
credit. Cheating is not tolerated. Please see the full academic policy in the handbook.

Every co-op day, please sign in at the front desk near the school entrance to show
you are present.  Students taking only junior high or high school classes must sign themselves in. All other students and children must have a responsible adult on campus. If you are without a cell phone, please see a committee member for sign-in assistance.

RHSA has a board/committee member who is the parent and teacher liaison. Out of
courtesy to our teachers, please attempt to work things out with the teacher when possible. If
you do not feel your attempt is satisfactory, contact the liaison for assistance. This year, our
liaison is the Director. You may email director@rhsa.org to share concerns at any time. (This
statement is informational only and not found in the Handbook.)

I understand that if I am unable to serve any of my service hours on any given week and do
not find a substitute to take my place, I will owe $15 to RHSA to cover the missed week. I am
required to bring the payment the following week.

SERVICE HOURS REQUEST FORM

Each family is required to contribute service hours throughout the year to make this co-op a
friendly, well-organized place to learn. The commitment is 1 hour each week for 32 consecutive
weeks, not including holidays. Service hours correspond to class times. There are other areas to
serve within the Co-op that count for service hours. Some of these jobs take a little more time
each week and are a year-long commitment.
For those who cannot serve, payment in lieu of service is available. This is a one-time payment
of $300 due at registration. A limited number of payment spots are available.
If you are unable to serve any of your weeks and do not find a substitute to take your place, there
is a fee of $15 you will owe to RHSA to cover your missed week. You are required to bring this
fee the next week you return.
Families with children older than 6th grade and thus not on campus, may elect to have their
student sign up for a service job.

Please sign up for service hours using the tab on the homepage that says parent service hours.

I understand the requirements for service hours.  Select yes below to continue.

Options for service hours

Release of Liability and General Agreement

In consideration of being permitted to participate in the Richardson Home School Association
Teaching Co-op,
(Please type below: first name of each parent or legal guardian, each child in the family, even
those not attending Co-op, and any other family member who may be likely to come on
campus.)
(hereinafter referred to as “Family”) agree to the following:
1. Release, waive, discharge, and covenant not to sue either the RHSA Teaching Co-op or Prairie
Creek Baptist Church, their officers, employees, board members or other families participating
in the Teaching Co-op of RHSA (hereinafter referred to as “Releasees’) from all liability to
Family for any loss or damage and any claim or damage on account of injury to the person or

property or resulting in death of a Family member while Family is participating in Teaching Co-
op of RHSA activities or any other activities on the premises of Prairie Creek Baptist Church.

2. Family agrees to indemnify Releases from any loss, liability, damage, or cost Releases may
incur due to the presence of Family in or on the premises of Prairie Creek Baptist Church.
Family realizes transportation to and from Co-op or any time off campus is the Family
responsibility.
3. Family assumes full responsibility for and risk of bodily injury, death, or property damage
while in or on the premises of Prairie Creek Baptist Church and/or while working or for any
purpose participating in the activities of the Teaching Co-op of RHSA.
4. Family expressly agrees that this release, waiver, and indemnity agreement is intended to be
as broad and inclusive as permitted by the laws of the State of Texas and that, if any portion of
the agreement is held invalid, it is agreed that the balance shall, notwithstanding, continue in
full legal force and effect,
5. Family, in consideration of being permitted to participate in the Teaching Co-op of RHSA, for
Family, and Family's heirs, executors, administrators, and assigns, releases and forever
discharges all Releasees, and their heirs, administrators, and executors of and from any and
every claim, demand, action or right of action, of whatsoever kind or nature, either in law or in
equity arising from or by reason of any bodily injury or personal injuries known or unknown,
death or property damage resulting or to result from any accident which may occur as a result of
participation in the Teaching Co-op of RHSA or any activities in connection with the Teaching
Co-op of RHSA.
6. Family states that both Mother and Father of Family or legal guardians have carefully read
the above release and know the contents of the release and sign this release as Family's own free
act.

7. Family releases all officials and professional personnel from any claim whatsoever on account
of first aid, treatment or service rendered to the Family during participation in the Teaching
Co-op of RHSA.
8. RHSA and the Teaching Co-op operate under biblical guidelines and believe that the Bible
commands them to make every effort to live at peace and to resolve disputes with each other in
private or within the Christian church (see Matthew 18: 15-20; 1 Corinthians 6: 1-8). Therefore,
the parties agree that any claim or dispute arising from or related to this agreement shall be
settled by biblically based mediation and if necessary, legally binding arbitration in accordance
with the Rules of Procedure for Christian Conciliation of the Institute for Christian
Conciliation. The parties understand that these methods shall be the sole remedy for any
controversy or claim arising out of this agreement or any dispute arising out of any activities or
events associated with the Teaching Co-op of RHSA and expressly waive their right to file a
lawsuit in any civil court against one another or against another RHSA Teaching Co-op family
for such disputes, except to enforce an arbitration decision.
9. This agreement shall be binding on each member of the Family, their personal
representatives, assigns, heirs, and next of kin.
10. This release contains the entire agreement between the parties to this agreement and the
terms of this release are contractual and not a mere recital.

(Please type below: first name of each parent or legal guardian, each child in the family, even
those not attending Co-op, and any other family member who may be likely to come on
campus.)

Release of Liability and General Agreement Signature:

I have read and agree to the release of liabillity and general agreement

RHSA Photography Release Form

This form grants Richardson Home School Association permission to use photographs and/or videos taken during co-op activities, events, and field trips for marketing, social media, fundraising, and other promotional purposes.

Permission to Use Photographs and Videos

By signing this release form, you (the parent/guardian/teacher) authorize RHSA to use photographs, videos, or other images of you and/or your child(ren) taken during co-op activities. These images may be used in the following contexts:

• On RHSA's website
• In print or digital marketing materials (e.g., brochures, newsletters, flyers)
• On social media platforms (e.g., Facebook, Instagram)
• For fundraising campaigns
• For promotional materials related to RHSA’s activities and events

These images may be altered, cropped, edited, or otherwise modified as necessary for the intended purposes.

You understand and agree that no compensation will be provided for the use of these images, and no further approval or payment will be required before their use.

Participation is entirely voluntary, and you may choose not to grant permission for images of you or your child(ren) to be used in this manner. Choosing to not participate will not affect your family’s participation in co-op activities or your relationship with RHSA.

Please select one of the following options regarding the use of your and/or your child(ren)’s images:

If you have any questions or concerns about this release or how your child’s images may be used, please contact Lauren McAllister at director@rhsa.org.

Thank you for your cooperation in helping us share our incredible RHSA community!

By signing below, I acknowledge that I have read and understood the Photography Release Form and agree to the terms stated above.

By signing below, I, the student, have read and agree to uphold this Code of Conduct and commit to living out these principles in my words, actions, and interactions with others. I understand that failure to follow this agreement may result in the listed consequences.

Each individual student, regardless of age, must themselves sign below. I have read completely
(or have had read to me) the Character Code of Conduct and agree to abide by the guidelines
and understand that failure to do so may result in dismissal from Co-op.
Student____________________________________________Date_____________
Student____________________________________________Date_____________
Student____________________________________________Date_____________
Student____________________________________________Date_____________
Student____________________________________________Date_____________
Student____________________________________________Date_____________

I, the parent/guardian, have reviewed this Code of Conduct with my child. I acknowledge that I am responsible for upholding these values myself and modeling them for my child. I affirm my support for this Code of Conduct and agree to partner with RHSA in guiding my child to live according to these values.

Tell us a little about your child or children.

Tell us why you have chosen to homeschool your child(ren).

How many years have you been homeschooling?

New Families only:

Download and have the following form completed:  https://www.homeschool-life.com/4343/admin/fileupload/fileupload