🌿 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) *

Please indicate your payment method: *

Step Up for Students (EMA)

Private Pay / Out-of-Pocket

Required

Student Name(s)

Please list the full legal name of each child who will be participating. If enrolling more than one child, separate names with a comma.

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)

Payment Instructions: Self-Pay vs. Step Up for Students

Please read before submitting this form

After you submit this registration form, you will be redirected back to our website.

From there, families will follow two different payment paths:

If You Are SELF-PAY

After submitting this form:

- You will automatically be directed to PayPal.

- Please complete your payment to secure your trial class.

- This step is required for all self-pay families.

If You Are Using STEP UP FOR STUDENTS (Important!) Do NOT complete the PayPal payment.

The PayPal page is for self-pay families only.

- After submitting this form, please follow these steps:

- Log in to your Step Up Marketplace.

- Search for the appropriate Discovery Junction program:

Ages 2–17 Parent-Present Program, or Ages 11–17 Drop-Off Program

- Select the Application Service for your program.

This Application Service covers your trial class.

- In the service description, click the link provided.

This link contains all handbooks, required forms, and step-by-step instructions.

Follow every step in that document, including:

- Completing and returning all forms

- Submitting Materials Authorizations

- Submitting Late Payment Authorizations

- Emailing all required documents back to me

Important for Step Up families:

The Application Service is for your trial class only. If you decide to join the community after your trial, you will then return to Step Up to select the Enrollment Service. Enrollment cannot be processed until the trial class and registration fee have been completed through Step Up.

Please Note

This is the longest part of joining the program. Once enrolled, there is no additional paperwork.

These documents protect your child, your family, the community, and myself during outdoor activities with young children.If you need help, please text or call:

Amber — 442-260-4100

Send me a copy of my responses.

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