WHEEL CO-OP 2012-2013 REGISTRATION/Application

PARENTS _______________________________________ DATE __________________

ADDRESS _______________________________________________________________
PHONE ________________________(home) _____________________________(cell)
EMAIL _________________________________________________________________
CHILDREN:
____________________________________________

AGE and GRADE by Sept 1:

_________ __________

____________________________________________

__________ __________

_____________________________________________

__________ __________

Years homeschooling?_______ Participated in an educational co-op before?_____________

Which ones?______________________________________________________________________
As our Statement of Faith suggests, relationship with God is important. Gods Word teaches that
relationship with one another is vital in His Kingdom, so....

Which local Church are you affiliated with?________________________________________

Would others with your church say you are active and involved there?_______________
Why are you interested in joining WHEEL? ________________________________________

WHAT ARE YOU WILLING TO TEACH? Must fill out at least one.

Subject/Title: _______________________________________________________________
AGE LEVEL: ___________________________

Homework? Yes

No

If yes, briefly

describe______________________________________________________________________
BRIEF DESCRIPTION of class: ___________________________________________________

Supplies/books needed __________________________________________ Cost?__________

Subject/Title: _____________________________________________________________
AGE LEVEL: ___________________________

Homework? Yes No If yes, briefly

describe____________________________________________________________________
BRIEF DESCRIPTION of class: __________________________________________________

Supplies/books needed _________________________________________________________

Cost? ______________________

Subject/Title: _________________________________________________________
AGE LEVEL: ___________________________

Homework? Yes No If yes, briefly

describe_______________________________________________________________
BRIEF DESCRIPTION of class: _____________________________________________

Supplies/books needed ___________________________________________________

Cost? ______________________