Caution: uncheck this box if you are on a public computer (e.g. Hotel, Coffee Shop)
Request Membership in this Homeschool Group
indicates a required answer
This form authorizes ONE trusted adult per family to be able to attend member children to field trips and member-only events. By filling out this form the authorized adult agrees to adhere to all PACHEK policies.
This form is to be filled out by the AUTHORIZED ADULT and not by the member family.
Name:
Address:
Email Address:
Phone Number:
Member Family adult is authorized to attend with?
Relation to member family:
I, authorized adult, agree to abide by all PACHEK policies while attending any PACHEK event with a member family.
I, authorized adult, agree to fill out the Release of Liability form before attending any PACHEK event with a member family.
Please read over our statement of faith and select below whether you agree to and live by the Statement of Faith, or agree to respect the Statement of Faith.
*Please note that only those authorized adults who agree to and live by the Statement of Faith are allowed to participate in CO-OP per PACHEK Policy and Procedures.
Statement of Faith
Authorized adult must type name below to sign this form.
