New Family Registration

This form is for families whose application has been approved and who are starting their first semester with Koinonia Homeschool Group. If you would like to apply for membership, you can do so here.

I and my family have read and agree to abide by Koinonia Homeschool Group’s Code of Conduct

Name

Phone Number

Address

Child 1 Name

Child 1 Date of Birth

Child 1 Grade

Child 2 Name

Child 2 Date of Birth

Child 2 Grade

Child 3 Name

Child 3 Date of Birth

Child 3 Grade

Child 4 Name

Child 4 Date of Birth

Child 4 Grade

Child 5 Name

Child 5 Date of Birth

Child 5 Grade

Child 6 Name

Child 6 Date of Birth

Child 6 Grade

Additional comments (Please include any known absences for this semester).

Questions

“Go To Checkout” will take you to the North Mountain Church website’s donation page to checkout. Pick “Koinonia Homeschool Group” from the drop down and enter $35 per family.