Register here

To request membership, please fill out this form. If you have any questions, please contact littlewayhsc@gmail.com.

After registering, please submit your first payment via Venmo @littlewaycoop (confirmation code 5929). You can also email littlewayhsc@gmail.com for details on paying by check, PayPal, or Zelle. Our membership fees are listed in the FAQs.
If your circumstances allow, payment for the full year is always appreciated to simplify our bookkeeping.

Registration constitutes acceptance of Little Way’s mission statement and policies.

Family Name

Mother's Name

Father's Name

Cell Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Child 1

First Name

Last Name

Birthdate for Child 1

YYYY

Group for Child 1

A child should be registered in the Little Way group that corresponds with his or her age as of Oct. 1. Families may choose to keep a child in a younger group but may not place him or her in an older group. For more information, please refer to our FAQs and Policies page.

Child 2

First Name

Last Name

Birthdate for Child 2

YYYY

Group for Child 2

Child 3

First Name

Last Name

Birthdate for Child 3

YYYY

Group for Child 3

Child 4

First Name

Last Name

Birthdate for Child 4

YYYY

Group for Child 4

Child 5

First Name

Last Name

Birthdate for Child 5

YYYY

Group for Child 5

Child 6

First Name

Last Name

Birthdate for Child 6

YYYY

Group for Child 6

Child 7

First Name

Last Name

Birthdate for Child 7

YYYY

Group for Child 7

Child 8

First Name

Last Name

Birthdate for Child 8

YYYY

Group for Child 8

Child 9

First Name

Last Name

Birthdate for Child 9

YYYY

Group for Child 9

Medical conditions

Please describe any medical conditions that could affect your family members' participation in co-op, and what steps would need to be taken to respond to those conditions. For example, if your child has asthma, and can self-administer an inhaler, state that.

Volunteering

As a co-op, all members must volunteer for a few periods or help organizationally. In order to help us match your gifts and interests to Little Way's needs, please use the space below to note classes you might teach or would like to assist with, events you could organize, or other ways you might pitch in!

Photo permission

Please mark below if we have your permission to use your family members' images on our website, social media pages, email messages and in other communications related to Little Way's mission.

Yes

VIRTUS Certification

Please be advised that all adults may need to be certified in the VIRTUS program "Protecting God's Children." Do you have this certification?

Yes, I am currently certified.

I was certified but need a renewal.

No, I need to attend for the first time.

Are there co-op dates when you anticipate being away?

Ideas / suggestions

Please use this space to let us know what classes and events you think Little Way should offer in the future.

Comments and / or questions?

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Little Way Homeschool Co-op