26-27 Registration – The Light Group

PLEASE NOTE: Registration will close on Aug 1st.

Operating out of the Pavilion Baptist Church
10956 Lake St, Pavilion, NY 14525

Application for Enrollment

I/We request the admission of the below named child/children into The LIGHT Group in
accordance with the current policies of the homeschool co-op.

Child 1

First and Last Name*

M/F, Date of Birth, Grade entering*

Allergies/Medical Issues*

Child 2

First and Last Name

M/F, Date of Birth, Grade entering

Allergies/Medical Issues

Child 3

First and Last Name

M/F, Date of Birth, Grade entering

Allergies/Medical Issues

Child 4

First and Last Name

M/F, Date of Birth, Grade entering

Allergies/Medical Issues

Child 5

First and Last Name

M/F, Date of Birth, Grade entering

Allergies/Medical Issues

Parents/Guardians

First and Last Name(s)*

Address*

Email Address*

Phone number*

Grade level

We highly recommend taking the placement tests for ELA & Math

What grade levels would you like your child/ren in for ELA & Math?

Payment Information

Please note: There will be an additional transaction fee (approximately 3.49% + $0.49) to any payments made through PayPal.

Our intention is to pay:*

Method of Payment:*

Drop Off Program

We might consider offering a drop off option for grades Pre-K-4th if we have enough adults to fill the teacher/assistant roles. Please indicate if you would be interested in being considered for the drop off program at $600/child. Number of children able to be dropped off for each age group would be limited.

Please consider my child for the drop off program:

Assistance Roles

Unless enrolling in the drop off program, our parents assist in various roles to help the day run smoothly. Teacher assistants, cleaners, hall monitors, escorts, etc. are some of the areas where you may be asked to assist. Please list where you might like to be placed to assist for the 2025-2026 Light Group school year (including grades, if applicable)

Top 3 choices for the 26-27 school year:

Planning Committees

Please click the link below to view the various planning committees we have within our co op to help it thrive. Select your top 3 choices that you would be interested in participating.

Planning Committees

Top 3 Committee Choices:

Photo Release

I hereby grant permission to The LIGHT Group to photograph and/or video myself and my children in use for promotional activities, publications, online websites, The LIGHT Group Facebook page, and in other communications related to the mission of The LIGHT Group.

Permission granted:*

Required Forms

Please click on the links to view our Waiver & Release form, as well as our Participation Agreement. These are required documents to read. If in agreement, please sign below.

Waiver & Release

Participation Agreement

Signature*

Please list every adult/child who may enter the building at any time:*

Date signed*

Registration Fee $75

We require a $75 registration fee per family to offset administrative costs and basic supplies. This fee ensures your child/ren’s spot in the event that we need to close enrollment for that grade level due to class size constraints.

You may submit payment for the registration fee with cash or pay here with Paypal (with added transaction fee) to hold your spot for the 2026-2027 school year.