1. Agape Friday School Registration
Family Name ________________________________________
Class Descriptions can be found under
________________ _____ ______________________ ______ the Friday School link at our website
child age fee www.agapehomeschoolgroup.yolasite.com
______________________ ______ Special Needs Buddy Program: If you
fee have a special needs child that needs a
______________________ ______ buddy, please put an asterisk behind the
fee class(es) in which help is needed. If you or
______________________ ______ your child would like to be a buddy to a
fee special needs child, please write “buddy”
under parent contributions or in the class
________________ _____ ______________________ ______ space your child is available to help.
child age fee Parent Contribution: Please tell us
______________________ ______ where you plan or prefer to serve:
fee ________________________________________________________
______________________ ______
fee ________________________________________________________
______________________ ______ Waivers: Participation in Agape activities
fee
is done so voluntarily and at our own risk.
We accept ultimate responsibility and risk.
________________ _____ ______________________ ______
child age fee Initials: ____________ ____________
______________________ ______ husband wife
fee
Parents of Preschool and Nursery Age
______________________ ______ Children: We authorize the following
fee
persons to pick up our child(ren) from
______________________ ______ nursery or preschool.
fee
________________________________
________________ _____ ______________________ ______
child age fee ________________________________
______________________ ______ Initials: ____________ ____________
fee
husband wife
______________________ ______
fee Statement of Faith: We have read and are
______________________ ______ in agreement with the expectations,
fee purpose, and statement of faith of Agape
Home School Group.
________________ _____ ______________________ ______
child age fee Initials: ____________ ____________
______________________ ______ husband wife
fee
______________________ ______ Registration Fees: A minimum of $20 is
fee due at the time of registration. The
______________________ ______ remaining balance is due by the first day of
fee class. Contact the Agape treasurer (send a
note with check) for alternative
________________ _____ ______________________ ______ arrangements.
child age fee
______________________ ______ Class Fees Sub Total _______
fee
______________________ ______ $10 Annual Agape Membership _______
fee
Semester Church Use fee $20.00
______________________ ______
fee Total Amount Due _______
______________ Amount Paid _______
Sub Total
Remaining Balance _______
Please keep a copy of this completed form for your records.
Mail to Agape Home School Group 7482 MacArthur Rd Saranac, Mi 48881