Application for Enrollment

Thank you for your interest in Mustard Seed Co-op. Please complete this application after you have completed a tour of our program.

Statement of Faith

Mustard Seed Co-op is a Christ-centered, parent-led cooperative. We believe that Jesus is Lord and our program is rooted in faith-based values. We nurture Godly character, kindness for all living things, and hands-on learning. We believe parents are the primary educators, and this co-op serves as an enrichment program to support what each child learns at home.

Important Notice

Mustard Seed Co-op is not a school. We are a homeschool cooperative where families come together to supplement their home education. All participating families must be legally registered with the state of Virginia as homeschoolers. Parents retain full responsibility for their children's education, and our co-op serves as an enrichment program to support your homeschool journey. Please fill out one form per child.

Mother Information

First Name *

Last Name *

Phone Number *

Street Address *

City *

State *

Zip Code *

Second Parent/Guardian Information

Optional

First Name

Last Name

Phone Number

Home Address *

Child Information

Please submit one application per child.

Full Name *

Birthday *

Age *

Grade Level *

Writing Ability *

Reading Ability *

Allergies or Medical Conditions

Emergency Contacts (Other Than Parent)

Please provide two contacts other than mother or father who we can reach in case of emergency.

Emergency Contact 1 *

Name *

Phone *

Relationship to Child *

Emergency Contact 2 *

Name *

Phone *

Relationship to Child *

Approved Pickup Persons

List all people who are authorized to pick up your child(ren) from co-op, other than the parent/guardian listed above. Please add each person's name exactly as it appears on their ID.

Approved Pickup Persons *

Agreements & Acknowledgements

I confirm that I have completed a tour of Mustard Seed Co-op before submitting this application. *

I confirm that my child is or will be legally registered with the state of Virginia as a homeschooler by August of the start of school, and I understand that this is a requirement for participation in Mustard Seed Co-op. *

I understand that monthly tuition is due by the 10th of each month, and I agree to maintain timely payments throughout the school year. *

I understand that Mustard Seed Co-op is not a school, but a homeschool cooperative. I retain full responsibility for my child's education and understand that the co-op serves as an enrichment program to support your homeschool journey. *

Additional Information

Anything else you'd like us to know?

A $25 non-refundable application fee per child will be invoiced after submission.

Your spot is saved once the fee is paid.