Valley Co-Op Member WAITLIST
Please fill out the form below to register you and your children for our alternative education group. Once you have registered and approved, you will be sent information on payment and logging into the member area of the Valley Co-Op website. The registration fee for students in the Valley Co-Op is $200 per student.
Parent Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Number of Eligible Children
*
Please Select
1
2
3
4
5
6
7
8
9
10
Children must be between the ages of 5-19 BEFORE October 31, 2025 to be eligible for membership in the Valley Co-Op.
Student Information
*
Please provide specific allergy and special needs information as well as any additional student information you would like us to be aware of.
If your student(s) are registered in Colorado Homeschool Enrichment, please provide your Micro-Campus Leader's name:
CHE Micro-Campus Leader's Email:
example@example.com
CHE Micro-Campus Leader's Phone Number:
Please enter a valid phone number.
Photo Consent
*
I DO give consent for my children's photos to be used for a picture gallery and marketing purposes of the Valley Co-Op and contractors hired by the Valley Co-Op.
I ONLY give consent for my children's photos to be used in the Valley Co-Op's picture gallery, which I understand may be displayed at Co-Op Events and on their website.
I do NOT give consent for my children's photos to be used in any way.
Emergency Contact
*
First Name
Last Name
Emergency Phone Number
*
Please enter a valid phone number.
I understand that the Valley Co-Op requires a parent or guardian to be present and on-site for ALL Co-Op events and for every child that attends. Even if my child is registered and is a member of the Co-Op, they will NOT be able to participate in events if they do not have a supervising guardian present.
*
I understand that I or another guardian must be present for my child to participate in an event.
I understand that the Valey Co-Op cannot accommodate all students with disabilities. Please review our tentative schedule to determine if your student can reasonably participate in planned events under their own power or with the assistance provided by their guardian.
*
I understand that if my child has a disability it is my responsibility to ensure that they are able to actively participate in Co-Op events either by themselves or with my assistance. I will not depend on Co-Op volunteers or employees to assist my child.
I understand that the Valley Co-Op does NOT regulate vaccination records of its members. I understand that my child will be participating in events (including potentially sharing food and germs) with students that may not be vaccinated to the state public school standards.
*
I understand that my children will be interacting with students who may or may not be fully vaccinated.
I understand that though the Valley Co-Op is founded upon and guided by Christian values, it is not an organization dedicated to a single denomination or religion. Membership into the Co-Op is NOT guided by church status, religious convictions, or any other spiritual beliefs. Members are expected to be tolerant and courteous of others' beliefs without compromising their own. Members who violate this expectation with bullying or excessive proselytizing will be asked to leave the Co-Op and will not be refunded their membership fees. Students are encouraged to participate in meaningful discussions with each other-which sometimes will include spiritual beliefs-and it is suggested that parents prepare their students for these types of discussions.
*
I understand that my children are expected to show tolerance be courteous to those with beliefs that differ from theirs.
The Valley Co-Op organizes between 20-25 events each school year (August-May). Students who have paid the registration fee are eligible to attend any and all of these events without additional cost. However, the Valley Co-Op DOES require students to RSVP for events they plan to attend. If a student has RSVP'd for an event and is unable to attend, please notify the event organizer. If a student "no-shows" 3 events within a single school year, their membership can be revoked without refund. This is determined on a case-by-case basis.
*
I understand that my children are expected to attend Co-Op events they have RSVP'd for and if they "no-show" 3 or more events they have RSVP'd for, they may lose their membership with no refund.
I, as the medical surrogate decision maker or one with medical power of attorney and legal guardian of the children registered above, believe that the insurance I privately provide this minor to be sufficient in case of any type of injury incurred during events sponsored by the Valley Co-Op. I am aware that participation in the activities the Valley Co-Op sponsors comes with risk of possible injury to my child/ward. I understand that the danger and the seriousness of the risk varies significantly from one activity to another and I have been made aware of and had opportunity to understand the risks for each activity my child has chosen to participate in. I am also aware that participating in activities with the Valley Co-Op may require travel with myself or another parent in the Co-Op. With this knowledge in mind, I grant permission for my child/ward to participate in activities and travel associated with the Valley Co-Op and will hold harmless the Valley Co-Op in the event of any incident.
*
I understand the risks associated with these activities and grant permission for my child/children to participate. I also pledge to hold harmless the Valley Co-Op in the event of any incident.
My students have:
*
Please Select
Private Insurance
Medicaid
No Insurance
Insurance Company Name
Please give the name of the Insurance Company your students are covered by. If your students do not have insurance, leave the insurance information sections blank.
Insurance Company Phone Number
Policy Number
Policy Holder Name
Group ID Number
I certify that the above information is true and correct to the best of my knowledge and ability
*
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