🌿 Discovery Junction Homeschool Co-op LLC – New Member Trial Class Registration

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🌿 Discovery Junction Homeschool Co-op LLC – New Member Trial Class Registration

Please complete this form before submitting your trial class payment. Your answers will help us verify your community, children’s ages, and payment tier. You will be redirected to the payment page once submitted.

Email *

Record my email address with my response

Section 1: Parent Guardian Information

Full Legal Name (Short Answer, Required) *

Phone Number (Short Answer, Required) *

By providing your phone number, you agree to receive occasional text messages from Discovery Junction Homeschool Co-op about programs, events, and community announcements. Message frequency varies. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. Reply STOP to opt out or HELP for assistance.
SMS Terms of Service: https://www.discoveryjunctionhomeschool.com/sms-terms
Privacy Policy: https://www.discoveryjunctionhomeschool.com/sms-privacy *

I agree to receive occasional text updates from Discovery Junction Homeschool Co-op.

Email Address (Short Answer, Required) *

Facebook Account Name (Short Answer, Required) *

PayPal Email Address (For Payment Verification) (Short Answer, Required) *

Section 2: Community Selection

What is your local community? (Please verify your location at www.discoveryjunctionhomeschool.com under the Locations tab. If you live within the highlighted map area, that’s your designated community. If you’re outside the area, you can still join—just note that travel to events may take over an hour.) (Dropdown – Required) *

Section 3: Child Information

List the names and ages of each child attending
(Paragraph text, Required — include example: “Ava – age 5, Liam – age 12”) *

Section 4: Trial Tier Payment Selection

Select the trial class payment tier that matches your family (Dropdown – Required) *

Payment Authorization and Membership Policy

I understand and agree that Discovery Junction Homeschool Co-op (“the Co-op”) will securely store my payment method on file for the duration of my membership. I authorize the Co-op to charge my stored payment method for damaged, lost, or unreturned materials, plus a 3% processing fee to cover Stripe’s transaction costs. I also understand that if I provide written notice revoking this authorization, I am simultaneously revoking my membership and will no longer have access to Co-op events, benefits, or activities. *

I have read, understand, and agree to the Materials Policy, Payment Authorization, and Trial Class Policy stated above.

Required

Section 6: Required Acknowledgment & Agreement (All Required) *

I understand that trial payment must be made at least 7 days in advance to attend the upcoming class.

I understand that payment submitted fewer than 7 days in advance will result in attending the following week’s trial.

I understand that all waivers and forms must be scanned and submitted clearly—no outside photos, shadows, or backgrounds. I may use the CamScanner app (available on both Android and Apple) or a similar scanner app to ensure clean, full-page submissions. These must be submitted before participating in any class.

I confirm all the above information is accurate and that I consent to being contacted by Discovery Junction Homeschool Co-op.

Other:

Required

Were you referred by a friend? (If, yes, please enter their full name so we can make sure the get credit for your referral bonus)

Send me a copy of my responses.

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