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EDUCARE

Homeschool Co-op Online Application

We are a 501c3 Non-profit organization.

Homeschool Co-op Appliction

Student Information

Date of Birth

Parent/Guardian Information

I prefer to be reached by (select all that apply)

Authorized Person(s) to Pick up Child:

Student Release Authorization

In the event that Homeschool is unable to contact the parent/guardian, I authorize that my child may be released to the person(s) listed above, or currently on file.

Legal Parent/Guardian sign below.

Health Needs/Concerns

Emergency Medical Authorization

I understand that in the event of an accident or illness, every effort will be made to contact the parent/guardian immediately. If parent/guardian cannot be reached, I authorize school authorities to obtain emergency care for my child.

Legal Parent/Guardian sign below:

Student's Preferred Schedule

Please select the days your child will attend:

Educare Policy Agreements

Homeschool Co-op Cost Agreement:

The cost for attendance in the Homeschool Co-op Program is $125/week with a one-time application fee of $25. (Please note, absent days do not roll over.) *Please review our Homeschool Co-op Payment Policy and Schedule for more information and payment options.

Legal Parent/Guardian sign below:

Homeschool Co-op Behavior Agreement:

I (we) understand that it is a privilege to attend DreamWorks Bladen Educare. I further understand that my student is expected to be respectful of all Educare and Bladen Released Time Employees/Volunteers and the Foundation Church Property. The program has the right to remove any student from the program for disciplinary issues or for being disruptive and noncompliant with our behavior guidelines outlined in the packet.

Student & Legal Parent/Guardian
Accepts and Acknowledges the Behavior Agreement.

Homeschool Co-op COVID-19 Information:

I (we) understand that in the event my child should be diagnosed with COVID-19, the school can contact Educare and share this information. I (we) understand that in the event that a student has to be quarantined due to exposure, the student may return to Educare after 5-7 days with no symptoms.

Student & Legal Parent/Guardian
Accepts and Acknowledges the COVID-19 information statement.

Photo Release Authorization

I, as the legal parent/guardian, give permission to Dream Works Educare to take photographs and/or videos of my child. I understand that these photographs and/or videos may be used for marketing or promotional purposes, including but not limited to social media posts and print materials.

Permission Option:
Yes, I give permission for my child's photo to be used.
No, I do not give permission for my child's photo to be used.

Additional Information:

  • This permission is granted without any financial compensation.

  • I understand that once/if my child's photograph is used, it may be publicly accessible and shared.

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