Forgot Username? Forgot Password?

Request Membership to Vital Academy!

Vital Academy Leading the next generation to Worship God, Find Freedom, Discover Purpose and Make a Difference! Monthly Events and Activities Optional Umbrella Covering Strong Support Community Christ-centered Co-op for Pre-K - 12th Grade
 

Request Membership to Vital Academy

indicates a required answer

Additional Membership Information
1. *

I have students in the following grades for the upcoming school year:

 (1 required)
K 1st
2nd 3rd
4th 5th
6th 7th
8th 9th
10th 11th
12th
2. *

Are you interested in joining our parent-led co-op? Our co-op meets on Friday mornings from 10am-12:35 pm at Vital Church in Oviedo for 8 weeks in the Fall and 8 weeks in the Spring. There is a fee of anywhere between FREE and $15 per student, per class. All persons over 18 that are participating in our co-op are subject to our annual background check policies. You will be required to volunteer as either an assistant or a teacher (assistant for your first time, teaching is optional after you've attended a full semester as an assistant) as well as be on our back-up assistant list rotation. You will also be assigned an area to clean after co-op is finished that must be done each Friday, this task takes no longer than 10 minutes and you will have someone helping you. We offer Nursery, Toddler, Preschool, and K-12th grade classes, separated by grade levels. The classes offered change each semester based on what the parents want to teach. You will never be required to teach if you're not comfortable.(Once you're an approved member, you can click on CLASS REGISTRATION on the website to see what classes are being offered for the current or upcoming semester.)
Yes No
Not sure, please send me more information.

MEDICAL RELEASE

In order to avoid delay in treatment, I authorize the adult leader of any Vital Academy event or activity to seek medical care for the child(ren) whose names are below. This authority includes any and all treatment deemed medically necessary by a physician or medical professional.

I hereby release any doctor or medical professional, Vital Church, Vital Academy and any of its volunteers or members from any liability arising out of any injury or illness which may occur on or off property of Vital Church in any Vital Academy meetings, events, parties, field trips, etc. This authorization shall continue its validity for as long as I am a member of Vital Academy.
3. *

EMERGENCY CONTACT #1:
4. *

EMERGENCY CONTACT #1 PHONE:
5. *

EMERGENCY CONTACT #2:
6. *

EMERGENCY CONTACT #2 PHONE:
7. *

INSURANCE:
8. *

POLICY NUMBER:
9. *

GROUP NUMBER:
10. *

EFFECTIVE DATE OF COVERAGE:
11. *

POLICY HOLDER'S NAME:
12. *

PHYSICIAN'S NAME:
13. *

PHYSICIAN'S NUMBER:
14. *

MINOR FULL NAME:
15. *

DATE OF BIRTH:
16. 

MINOR FULL NAME:
17. 

DATE OF BIRTH:
18. 

MINOR FULL NAME:
19. 

DATE OF BIRTH:
20. 

MINOR FULL NAME:
21. 

DATE OF BIRTH:
22. 

MINOR FULL NAME:
23. 

DATE OF BIRTH:

SIGNATURE
24. *

This e-signature serves as my official electronic signature. By signing this form, I understand that Vital Academy is a faith-based homeschool support group, and I am choosing to join a faith-based group. I understand that I and my family will be expected to be examples of Jesus Christ in all of our gatherings in the community as well as on campus. I am choosing to join this Christian homeschool group knowing full well that it is a ministry of Vital Church, therefore holding the same or similar beliefs as Vital Church which can be viewed here. 

Additionally, I understand that everyone participating in our events and activities is a member of Vital Academy. For the safety and security of all of our families, I agree to not invite individuals or share details about our gatherings unless the event description specifies this is allowed. In the event I need/want to bring people from my family or friend circle; I will seek approval from Vital Academy administration prior to the event. Please see FAQ for more information.