Family Registration Form

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

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

indicates a required field

Mom's Last Name Mom's First Name Mom's Email Family Username
Family Password
Confirm Family Password Dad's Last Name Dad's First Name Dad's Email If Dad's Email is entered above, should it also receive weekly email and forum notifications, etc.? Yes No 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.

Emergency Contact Name 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.

Emergency Contact Phone

Upload Family Photo (Optional) .jpg, .gif or .png

Children

Add Child

Church Affiliation Curriculum/Teaching Style Year you Started Homeschooling Family Business/Services Weekly Email Update: Would you like to receive a weekly email update? Yes No

Forum Emails:

Would you like to receive forum notifications via email (not just the ones you create)? Yes No

Many Emails: Would you like to receive notifications IMMEDIATELY? Yes No

Delivery Type Whole Thread New Part Only

Daily Digest: Would you like to receive notifications ONCE A DAY? Yes No

Classifieds Emails:

Classifieds - Many Emails: Would you like to receive ALL classified notifications IMMEDIATELY via email: Yes No Classifieds - Daily Digest: Would you like to receive ALL classified notifications ONCE A DAY via email? Yes No Message to Homeschool Group Administrator:

Additional Questions

1. Talents/Areas of Expertise that can be shared with Co-op: 2. Are you a member of any other co-ops? If so, please list. 3. Are You Currently CPR/First Aid Certified?
(1 required) Yes
No
4. I understand that I must attend co-op with my children. Co-op will be made a priority, and I will make sure my children are prepared each week for their classes. I will keep a positive attitude toward the co-op, teachers, and classes.
(1 required) Yes

Payment Instructions

Registration fees may be made by:

Check made out to Cornerstone Co-op and mailed to:
Christina Hakes
841 Dogwood Court
Pottstown, PA 19464

New Families: $100 (2 Months Dues)
Returning Families: $50 (1 Month Dues)

Cornerstone Homeschool Co-op

Family Registration Form

Children

Additional Questions

Payment Instructions