Parent/Guardian Name *

First Name

Last Name

Phone

(###)

###

####

Student 1 *

First Name

Last Name

Student 2

First Name

Last Name

Student 3

First Name

Last Name

Student 4

First Name

Last Name

Student 5

First Name

Last Name

What services are you interested in? *

Please select all that apply

Kids of Grace Academy Hybrid School

Co-op Lake Oswego

Co-op Oregon City

Sports

Afterschool Classes and Activities

What are your educational goals? *

Please select all that apply

Supplement to homeschool

A hybrid private school

A full week private school

A playgroup

Field trips

Afterschool classes and programs

Recreational sports

Competitive sports

Other (please explain below)