Registration & Release Form

- Registration
  - Hybrid Options
  - Requirements

Registration is CLOSED for Fall 2021

*To be added to our waitlist (for all ages/classrooms), email cabrinicoop@gmail.com.
Cabrini will give enrollment priority to applicants in the following order, as long as their enrollment can be accomplished in accordance with Cabrini's admission criteria:
1. Children who currently attend Cabrini and their siblings.
2. Children of Tutor's.
3. Non-registered children that do not meet the above.
Thank you for your patience as we seek to maintain our smallness along with remaining mission-focused as a Catholic homeschool co-op. God bless you!
The maximum number of form submissions has been reached. This form is currently not available.
- Registration is CLOSED
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Father REQUIRED Please fill out this field. Please enter valid data.
- Mother REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number 1 REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Phone Number 2 Maximum 20 characters Please enter a phone number.
- Emergency Contact (also authorized to pick up)
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Others Authorized to Pick-up Children (id required and communication by the parents prior)
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Phone Number Maximum 20 characters Please enter a phone number.
- STUDENT INFORMATION: Please list ALL of your minor children who will be attending including infants and any children who may be enrolled in the co-op.
- Total of Registered Children REQUIRED Please fill out this field.
  
  Child 1
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Age REQUIRED
  As of September 1st
  Please fill out this field. Please enter valid data.
  
  Grade REQUIRED
  As of September 1st
  Please fill out this field. Please enter valid data.
  
  Hybrid Options:
  
  1) Monday, Wednesday, (8am-12pm* or 2:30pm) and Friday (9am-12pm) - $500 per child, per semester so that my child(ren) may attend some days in my absence along with my consistent presence on Catholic Enrichment Fridays.
  
  2) Catholic Enrichment Fridays (9am-12pm) - $100 per child, per semester so that my child(ren) may attend Friday’s Catholic Enrichment Days. I will also be present as teacher support on Fridays.
  
  Which class schedule would you like to register for? REQUIRED Please fill out this field.
  
  Comments
  
  Known Medical conditions, allergies, limitations, etc.
  
  Child 2
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Age REQUIRED
  As of September 1st
  Please fill out this field. Please enter valid data.
  
  Grade REQUIRED
  As of September 1st
  Please fill out this field. Please enter valid data.
  
  Hybrid Options:
  
  1) Monday, Wednesday, (8am-12pm* or 2:30pm) and Friday (9am-12pm) - $500 per child, per semester so that my child(ren) may attend some days in my absence along with my consistent presence on Catholic Enrichment Fridays.
  
  2) Catholic Enrichment Fridays (9am-12pm) - $100 per child, per semester so that my child(ren) may attend Friday’s Catholic Enrichment Days. I will also be present as teacher support on Fridays.
  
  Which class schedule would you like to register for? REQUIRED Please fill out this field.
  
  Comments
  
  Known Medical conditions, allergies, limitations, etc.
  
  Child 3
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Age REQUIRED
  As of September 1st
  Please fill out this field. Please enter valid data.
  
  Grade REQUIRED
  As of September 1st
  Please fill out this field. Please enter valid data.
  
  Hybrid Options:
  
  1) Monday, Wednesday, (8am-12pm* or 2:30pm) and Friday (9am-12pm) - $500 per child, per semester so that my child(ren) may attend some days in my absence along with my consistent presence on Catholic Enrichment Fridays.
  
  2) Catholic Enrichment Fridays (9am-12pm) - $100 per child, per semester so that my child(ren) may attend Friday’s Catholic Enrichment Days. I will also be present as teacher support on Fridays.
  
  Which class schedule would you like to register for? REQUIRED Please fill out this field.
  
  Comments
  
  Known Medical conditions, allergies, limitations, etc.
  
  Child 4
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Age REQUIRED
  As of September 1st
  Please fill out this field. Please enter valid data.
  
  Grade REQUIRED
  As of September 1st
  Please fill out this field. Please enter valid data.
  
  Hybrid Options:
  
  1) Monday, Wednesday, (8am-12pm* or 2:30pm) and Friday (9am-12pm) - $500 per child, per semester so that my child(ren) may attend some days in my absence along with my consistent presence on Catholic Enrichment Fridays.
  
  2) Catholic Enrichment Fridays (9am-12pm) - $100 per child, per semester so that my child(ren) may attend Friday’s Catholic Enrichment Days. I will also be present as teacher support on Fridays.
  
  Which class schedule would you like to register for? REQUIRED Please fill out this field.
  
  Comments
  
  Known Medical conditions, allergies, limitations, etc.
  
  Child 5
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Age REQUIRED
  As of September 1st
  Please fill out this field. Please enter valid data.
  
  Grade REQUIRED
  As of September 1st
  Please fill out this field. Please enter valid data.
  
  Hybrid Options:
  
  1) Monday, Wednesday, (8am-12pm* or 2:30pm) and Friday (9am-12pm) - $500 per child, per semester so that my child(ren) may attend some days in my absence along with my consistent presence on Catholic Enrichment Fridays.
  
  2) Catholic Enrichment Fridays (9am-12pm) - $100 per child, per semester so that my child(ren) may attend Friday’s Catholic Enrichment Days. I will also be present as teacher support on Fridays.
  
  Which class schedule would you like to register for? REQUIRED Please fill out this field.
  
  Comments
  
  Known Medical conditions, allergies, limitations, etc.
  
  Child 6
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Age REQUIRED
  As of September 1st
  Please fill out this field. Please enter valid data.
  
  Grade REQUIRED
  As of September 1st
  Please fill out this field. Please enter valid data.
  
  Hybrid Options:
  
  1) Monday, Wednesday, (8am-12pm* or 2:30pm) and Friday (9am-12pm) - $500 per child, per semester so that my child(ren) may attend some days in my absence along with my consistent presence on Catholic Enrichment Fridays.
  
  2) Catholic Enrichment Fridays (9am-12pm) - $100 per child, per semester so that my child(ren) may attend Friday’s Catholic Enrichment Days. I will also be present as teacher support on Fridays.
  
  Which class schedule would you like to register for? REQUIRED Please fill out this field.
  
  Comments
  
  Known Medical conditions, allergies, limitations, etc.
  
  Child 7
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Age REQUIRED
  As of September 1st
  Please fill out this field. Please enter valid data.
  
  Grade REQUIRED
  As of September 1st
  Please fill out this field. Please enter valid data.
  
  Hybrid Options:
  
  1) Monday, Wednesday, (8am-12pm* or 2:30pm) and Friday (9am-12pm) - $500 per child, per semester so that my child(ren) may attend some days in my absence along with my consistent presence on Catholic Enrichment Fridays.
  
  2) Catholic Enrichment Fridays (9am-12pm) - $100 per child, per semester so that my child(ren) may attend Friday’s Catholic Enrichment Days. I will also be present as teacher support on Fridays.
  
  Which class schedule would you like to register for? REQUIRED Please fill out this field.
  
  Comments
  
  Known Medical conditions, allergies, limitations, etc.
  
  Child 8
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Age REQUIRED
  As of September 1st
  Please fill out this field. Please enter valid data.
  
  Grade REQUIRED
  As of September 1st
  Please fill out this field. Please enter valid data.
  
  Hybrid Options:
  
  1) Monday, Wednesday, (8am-12pm* or 2:30pm) and Friday (9am-12pm) - $500 per child, per semester so that my child(ren) may attend some days in my absence along with my consistent presence on Catholic Enrichment Fridays.
  
  2) Catholic Enrichment Fridays (9am-12pm) - $100 per child, per semester so that my child(ren) may attend Friday’s Catholic Enrichment Days. I will also be present as teacher support on Fridays.
  
  Which class schedule would you like to register for? REQUIRED Please fill out this field.
  
  Comments
  
  Known Medical conditions, allergies, limitations, etc.
  
  Child 9
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Age REQUIRED
  As of September 1st
  Please fill out this field. Please enter valid data.
  
  Grade REQUIRED
  As of September 1st
  Please fill out this field. Please enter valid data.
  
  Hybrid Options:
  
  1) Monday, Wednesday, (8am-12pm* or 2:30pm) and Friday (9am-12pm) - $500 per child, per semester so that my child(ren) may attend some days in my absence along with my consistent presence on Catholic Enrichment Fridays.
  
  2) Catholic Enrichment Fridays (9am-12pm) - $100 per child, per semester so that my child(ren) may attend Friday’s Catholic Enrichment Days. I will also be present as teacher support on Fridays.
  
  Which class schedule would you like to register for? REQUIRED Please fill out this field.
  
  Comments
  
  Known Medical conditions, allergies, limitations, etc.
  
  Child 10
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Age REQUIRED
  As of September 1st
  Please fill out this field. Please enter valid data.
  
  Grade REQUIRED
  As of September 1st
  Please fill out this field. Please enter valid data.
  
  Hybrid Options:
  
  1) Monday, Wednesday, (8am-12pm* or 2:30pm) and Friday (9am-12pm) - $500 per child, per semester so that my child(ren) may attend some days in my absence along with my consistent presence on Catholic Enrichment Fridays.
  
  2) Catholic Enrichment Fridays (9am-12pm) - $100 per child, per semester so that my child(ren) may attend Friday’s Catholic Enrichment Days. I will also be present as teacher support on Fridays.
  
  Which class schedule would you like to register for? REQUIRED Please fill out this field.
  
  Comments
  
  Known Medical conditions, allergies, limitations, etc.
  
  Child 11
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Age REQUIRED
  As of September 1st
  Please fill out this field. Please enter valid data.
  
  Grade REQUIRED
  As of September 1st
  Please fill out this field. Please enter valid data.
  
  Hybrid Options:
  
  1) Monday, Wednesday, (8am-12pm* or 2:30pm) and Friday (9am-12pm) - $500 per child, per semester so that my child(ren) may attend some days in my absence along with my consistent presence on Catholic Enrichment Fridays.
  
  2) Catholic Enrichment Fridays (9am-12pm) - $100 per child, per semester so that my child(ren) may attend Friday’s Catholic Enrichment Days. I will also be present as teacher support on Fridays.
  
  Which class schedule would you like to register for? REQUIRED Please fill out this field.
  
  Comments
  
  Known Medical conditions, allergies, limitations, etc.
  
  Child 12
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Age REQUIRED
  As of September 1st
  Please fill out this field. Please enter valid data.
  
  Grade REQUIRED
  As of September 1st
  Please fill out this field. Please enter valid data.
  
  Hybrid Options:
  
  1) Monday, Wednesday, (8am-12pm* or 2:30pm) and Friday (9am-12pm) - $500 per child, per semester so that my child(ren) may attend some days in my absence along with my consistent presence on Catholic Enrichment Fridays.
  
  2) Catholic Enrichment Fridays (9am-12pm) - $100 per child, per semester so that my child(ren) may attend Friday’s Catholic Enrichment Days. I will also be present as teacher support on Fridays.
  
  Which class schedule would you like to register for? REQUIRED Please fill out this field.
  
  Comments
  
  Known Medical conditions, allergies, limitations, etc.
  
  Child 13
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Age REQUIRED
  As of September 1st
  Please fill out this field. Please enter valid data.
  
  Grade REQUIRED
  As of September 1st
  Please fill out this field. Please enter valid data.
  
  Hybrid Options:
  
  1) Monday, Wednesday, (8am-12pm* or 2:30pm) and Friday (9am-12pm) - $500 per child, per semester so that my child(ren) may attend some days in my absence along with my consistent presence on Catholic Enrichment Fridays.
  
  2) Catholic Enrichment Fridays (9am-12pm) - $100 per child, per semester so that my child(ren) may attend Friday’s Catholic Enrichment Days. I will also be present as teacher support on Fridays.
  
  Which class schedule would you like to register for? REQUIRED Please fill out this field.
  
  Comments
  
  Known Medical conditions, allergies, limitations, etc.
- I hereby give permission for my child/children listed above to take part in Cabrini Co-op sponsored classes, activities and care. I also give my permission, in the event that I cannot be reached in an emergency, to the physician and/or hospital selected by a Cabrini Co-op representative to take proper care of my child as named above.
  
  I also authorize any representative of the Cabrini Co-op to render first aid to my child and/or to transport him/her to a medical facility and/or to call an ambulance. It is understood that all costs for transportation arrangements and costs associated with examination and treatment are to be made totally at my expense. I release St. Thomas the Apostle Catholic Church, and the Cabrini Co-op as a group and individually from any and all liability or injury in case of an accident as a result of involvement with Cabrini Co-op classes, activities and care. This release is valid and irrevocable for 13 months from the date hereof.
- I Agree Please select this field.
- Cabrini Co-Op Liability Release Waiver
  
  I have been informed of the guidelines, policies and procedures of the Cabrini Co-Op and assume all the risks of participating and/or volunteering in this activity. I understand that all reasonable safety precautions will be taken by any and all support staff and/or volunteers of Cabrini Co-Op and that the possibility of an unforeseen hazard does exist. I agree not to hold St. Thomas the Apostle Catholic Church (919 E. Indiana Ave. Coeur d’Alene, ID 83814) and/or Cabrini Co-Op and all of their administrators, instructors, workers and/or volunteer staff liable for damages, losses, diseases or injuries incurred by myself or any minor listed on this form. I certify that I have read this document and I fully understand its content. I am aware that it is a release of liability and a contract and I sign it of my own free will.
- I Agree Please select this field.
- COVID-19 NOTICE AND ACKNOWLEDGEMENT OF RISK FORM
  
  ACKNOWLEDGEMENT: I confirm that I understand and accept that there is a risk of contracting the COVID-19 virus and other illnesses in the co-op setting for myself and my child. I understand and accept the potential risk of contracting COVID-19 and other illnesses from contact at this facility. I also acknowledge that my child and/or I could contract the COVID-19 virus from outside of this facility and unrelated to my child’s enrollment with the Cabrini Co-op at the St. Thomas Parish Center facility. To help promote a safe environment at the co-op, I will not bring my child(ren) if they are exhibiting symptoms of COVID-19, or if they have been exposed to COVID-19. I have read and understand the information stated above:
- I Agree Please select this field.
- Digital Signature REQUIRED Please fill out this field. Please enter valid data.
- Date REQUIRED Please fill out this field. Please enter a date.
- Relationship to the Child(ren) REQUIRED Please fill out this field. Please enter valid data.
- Media Release (Please read and select Y/N below)
  
  By selecting YES below, I do hereby permit that a photo, audio or video recording of my family, including myself and my child(ren) or class projects created by him/her, may be used or published by Cabrini Co-op or St. Thomas the Apostle Catholic Church for promotional and informational purposes to our Cabrini families, local Catholic parishioners and the greater community. Media used may include but are not limited to, our websites, social media (Facebook & Instagram), newsletters, or other related media or materials created by Cabrini Co-op.
- Media Release REQUIRED Please fill out this field.
- How did you hear about the Cabrini Co-op? Do you know of anyone else in need of a co-op setting?
- Please tell us a little bit about your homeschooling journey. How long have you been homeschooling? Why did you decide to homeschool? What are your goals? Why are you interested in joining our homeschool co-op? etc.
- Please indicate any of the following interests: educational/career background, hobbies and interests, special classes taken, classes previously taught, subjects you enjoy or might be comfortable teaching.
- I agree to assist in classes, support with resources and bring a willingness to serve so that our co-op can run smoothly and efficiently. I commit to be a living example of the Catholic faith to the children and all I encounter and will attend daily mass as often as possible.
  
  Note: Registration is only considered complete when I have paid the yearly $100 family registration fee.
- I Agree Please select this field.
Submit

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Registration & Release Form

Registration is CLOSED for Fall 2021