Gospel Church Durango

Please fill out one form per student enrolled. For technical questions, text or call Tim Miller @ 970 903 1999. For child care and grammar level questions contact Marci Miller @ 970 403 2181 or for dialectic/rhetoric Levels, Nikki Thiessen @ 970 456 3995. Fields marked with a red asterisk are required. For questions pertaining to learning level or specific course offerings, please refer to the Aletheia Policy Manual and the Course Offering Document.

Fathers Name *

First

Last

Mothers Name *

First

Last

Primary Address

Address Line 1

Address Line 2

City

State

Zip Code

Fathers Phone Number

Mothers Phone Number

Email *

Secondary Email

Emergency Contact

First

Last

Emergency Contact Relationship

Emergency Contact Phone Number

Aletheia requires one parent to participate in the co-op each week actively involved in the learning of their student. Which parent will be at Aletheia each week? *

Do you anticipate needing childcare for children younger than 6? If so, list their names and ages.

What is the name of the student you are enrolling? *

First

Last

Students age as of September 1st? *

Student intends to participate in the full program of Aletheia? *

If no, what classes would you like to enroll your student in?

Student's learning level *

Grammar Level (ages 6-9)
Dialectic Level (ages 10-13)
Rhetoric Level (ages 14-18)

Are there any notes pertaining the enrollment of your student? *

I am aware that there is a $25 administrative fee per semester, per family. *

Yes

Aletheia requires all parents to read "Classical Education and the Homeschool" by Doug Wilson text prior to enrollment. *

My spouse and I will obtain and read the book prior to September 1st
My spouse and I have already read and met this requirement

I have read and agree with the policies of Aletheia Academy and Gospel Church Durango. I understand that Aletheia is overseen by the Elders of Gospel Church Durango and by selecting yes below, agree to be in submission to their leadership. I also understand that Aletheia is father led as God has appointed fathers to be head of their homes. I understand the father's role over the home and will actively fulfill the role that God has appointed me to as a mother or father. *

Yes

Mother's name

Fathers name *