Tribe Cooperative Online Registration

Registration

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Welcome to Tribe Cooperative! Please complete the following registration form. SUMMER CAMP ENROLLMENTS ONLY- PLEASE PUT N/A UNDER THE VOLUNTEER, PAYMENT PLAN AND NEW/EXISTING FAMILY SECTIONS. UNDER MEMBERSHIP PLEASE SELECT SUMMER CAMP ONLY. WE DO NOT REQUIRE ANY OF THESE SECTIONS FOR SUMMER CAMP. IT IS ONLY THE SUMMER CAMP FEE. ALL FALL ENROLLEES-PLEASE ANSWER ALL NECESSARY QUESTIONS.

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Referral Information

How did you hear about us?

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Emergency Contact Info (Not Contact #1 or #2)*

New Family or Existing Family*

Payment plan or Pay in Full*

Volunteer- opt out or sign up*

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone

Work #

Cell # *

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Contact #2 First Name*

Last Name*

Type

How can we contact you?

Home Phone

Work #

Cell # *

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities (Type N/A if none)*

Special Needs (Type N/A if none)*

Allergies (Type N/A if none)*

Please click on the Select Class button below, then choose the class.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities (Type N/A if none)*

Special Needs (Type N/A if none)*

Allergies (Type N/A if none)*

Please click on the Select Class button below, then choose the class.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities (Type N/A if none)*

Special Needs (Type N/A if none)*

Allergies (Type N/A if none)*

Please click on the Select Class button below, then choose the class.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities (Type N/A if none)*

Special Needs (Type N/A if none)*

Allergies (Type N/A if none)*

Please click on the Select Class button below, then choose the class.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities (Type N/A if none)*

Special Needs (Type N/A if none)*

Allergies (Type N/A if none)*

Please click on the Select Class button below, then choose the class.

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Account Information

Membership Type*

Registration

Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Enroll in Classes

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Account Information

Required Policies

(Show-Hide Details)