Application — The Cellar Door Co-Op

Let’s create together

Guardian Name

First Name

Last Name

Relationship to child(ren)

Phone

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Where do you live?

Number of children ages 6-10

How many children are applying?

Child Info

Names, ages, and gender of children applying

Younger Siblings

If you have younger children who may join in the future, please list their names, ages, and genders.

Child Strengths

What are your child(ren)'s strengths and interests?

Child Growth

What do you hope your child(ren) gains from co-op? Are there any particular skills you would like to help them grow this year?

Child Accommodation

Are there any health concerns or disabilities that would require accommodations? If yes, what accommodations would help your child succeed?

Adult Contribution

What are your interests and skills? What kinds of ways do you see yourself contributing to the co-op?

Adult Accommodation

Is there anything that you’d need support with in order to participate in co-op (childcare, transportation, cost-sharing for supplies, etc.)?

Suggestions

Do you and/or your child(ren) have any suggestions for things you’d like to see the co-op do this year?