Untitled Header Image

Dual Credit / Medical Assistant Family Registration

indicates a required answer




Each family who is not a current member of DasCHE will pay a $50 Building and Use Fee for each semester of enrollment.


Parent Information

1. *

Parent 1 First & Last Name 

2. *

Parent 2 First & Last Name (If there is only one parent in your household, please write "Does not apply".)

3. *


4. *

Primary phone number

5. *

Secondary phone number

6. *

Primary e-mail address

Student Information

7. *

List the names and grades (as of August 2022) of your children who will be enrolling in Dual Credit or Medical Assistant Training classes:

8. *

For which program are you enrolling?

 (1 required)
Dual Credit Medical Assistant Training

Student and Parent Contracts 

9. *


     I am responsible for reading the DasCHE Scholastic Co-op Handbook.  I have discussed the Student Guidelines with my parents and I understand what is required of me.  I recognize that a team of adults and parents has established these policies and conduct rules for the benefit of all participants.  I understand that I am responsible for making all possible effort to honor and obey the standards set forth by DasCHE. I understand that I am accountable for my conduct and for being prepared for class by doing my assignments at home.

     I understand that the Dual Credit program is for mature, responsible young adults who are capable of governing themselves by biblical standards. I am expected to make it easy for the tutors to teach me and all the other students in the room with me.

     I understand that consequences exist for the manner in which I behave.  When I conduct myself in a way that is pleasant, mannerly, and shows love to God and others, I have given myself the opportunity to learn new skills, make new friends, and build a good reputation for myself.  I have honored my word, my family, and my commitment to Christ.  When I conduct myself in a way that is unpleasant, ill-mannered, or unloving, I tear down those same opportunities, and will be disciplined according to the DasCHE Scholastic Co-op Handbook.

    I have reviewed the DasCHE Dress Code, and I agree I will dress accordingly while I am on campus. 

Each student who will attend Co-op should  indicate their consent to this contract by typing their name(s) and today's date.


Each parent should read and agree to each statement below then show his consent by typing his name and today's date in box at the bottom of the page.

10. *

As parent(s)/guardian(s) of the child(ren) above, we commit to having reviewed the DasCHE Scholastic Co-op Handbook, to having reviewed the Student Guidelines and Dress Code with our child(ren), and to having clarified all questions raised.

 (1 required)
11. *

We have endeavored to help our child(ren) understand the seriousness of making a commitment and honoring his/her word.

I/We will abide by the principles, practices, and educational policies of the Co-op as set forth in the Handbook and in any future and necessary amendments.

I/We agree to be listed in the Co-op directory for information purposes only.   We will support those in authority over our child(ren) and hereby invest authority in this Co-op to discipline our child(ren) as necessary according to the policies stated in the Handbook

 (1 required)
12. *

I/We understand that the DasCHE Statement of Faith includes the governing principles by which DasCHE intends to conduct the educational commerce of the Cooperative and by which all tutors agree to abide.

 (1 required)
13. *

I/We agree no member of our family will attend DasCHE events while knowingly ill.  Every child and adult in our household must be free of all symptoms for at least 48 hours before participating in any events.  Symptoms include: Fever (temperature over 100.0 degrees F), diarrhea, vomiting 2 or more times in the past 24 hours, body rash with fever, severe coughing, eye discharge, or any other communicable illness. 

If a student developes any of the above symptoms while at DasCHE, the child will be sent to a designated sick room and the parent will be notified immediately.  Parents agree to pick up the sick child within ONE HOUR.

 (1 required)
14. *

Our family (parents and children) agree to adhere to all DasCHE health and safety protocols while we are on campus.

 (1 required)
15. *

Parent(s) should indicate their agreement to this contract by typing their name(s) and today's date in the box below.