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Contact Details

Father's Name(Required)
Mother's Name(Required)
Email(Required)
Address(Required)
First Child's Name(Required)
MM slash DD slash YYYY
Second Child's Name
MM slash DD slash YYYY
Third Child's Name
MM slash DD slash YYYY
Fourth Child's Name
MM slash DD slash YYYY
Fifth Child's Name
MM slash DD slash YYYY
Sixth Child's Name
MM slash DD slash YYYY
Seventh Child's Name
MM slash DD slash YYYY

Event Details

6. Have any of your children:
11. Our family would prefer to attend the co-op on:

For the Participating Parent Only

12. I would like to participate in the Homeschool Support Group by serving as: (check all that apply)
Age Level
Early Elementary
Fine Arts
English/Writing
Foreign Language
Sciences/Technology
Math
Social Studies
Extracurricular Classes
Afternoon Clubs
Administrative Duties

Submission of the Application: Space in the Homeschool Support Group is limited. Admission is based upon level of commitment, willingness for parental participation, and spiritual condition of child and parent. Complete and mail in this application to Capital Baptist Church by August 31, 2024.

Capital Baptist Church 3504 Gallows Road Annandale, VA. 22003 (703) 560-3109 Ext 105 beagy@capitalbaptist.org