2022-2023 Victory Baptist Church Home School Co-op Membership Request Form
Fill out the form below and click the Submit button at the bottom.

Thank you for your interest in joining the Victory Baptist Church Home School Co-op.  Please fill out the form below.  A member of leadership will contact you before approving your membership.

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I understand that VBCHC requires a $25/student fee (up to 4 students) per semester to cover supplies and other misc. expenses.  I agree to pay this fee for my student(s) (1 year old and above) within the first 4 weeks of our attendance as it is mandatory for them to attend. *
Parent/Guardian Last Name *
Parent/Guardian First Name *
Parent/Guardian Email *
Emergency Contact Last Name
Emergency Contact First Name
Emergency Contact Email
Address *
City *
State *
Zip/Postal Code *
Phone Number *
Emergency Contact Phone Number
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