The Bridge Church - Linwood

*Please Note: You can use this form to apply for up to four students. If you need to include information for more than four students, please send additional student information to BHCadmin@thebridgechurch.today.

There is a $35/family application fee.
Please pay your application fee AFTER being accepted into the co-op.

Parent/Responsible Party and Emergency Contact Information

Parent/Responsible Party's Name

Relationship to child(ren) applying to BHC

Spouse's Name (if applicable)

Address 1

Address 2

Country

City

State

Zip/Postal Code

PA Residents Only -- How long have you been a Pennsylvania Resident (Years and Months)

Primary Phone Number

Secondary Phone Number

Email Address

Where do you attend church?

Emergency Contact Name

Relationship to child(ren)

Emergency Contact Phone Number

Student Information

First Name

Last Name

Gender
Male
Female

Date of Birth (mm/dd/yyyy)

Grade for '22/'23 School Year

Please list all allergies, medical conditions, and/or regular medications

Please list any special needs or accommodations

Student #2 (Optional)

First Name

Last Name

Gender
Male
Female

Date of Birth (mm/dd/yyyy)

Grade for '22/'23 School Year

Please list all allergies, medical conditions, and/or regular medications

Please list any special needs or accommodations

Student #3 (Optional)

First Name

Last Name

Gender
Male
Female

Date of Birth (mm/dd/yyyy)

Grade for '22/'23 School Year)

Please list all allergies, medical conditions, and/or regular medications

Please list any special needs or accommodations

Student #4 (Optional)

First Name

Last Name

Gender
Male
Female

Date of Birth (mm/dd/yyyy)

Grade for '22/'23 School Year

Please list all allergies, medical conditions, and/or regular medications

Please list any special needs or accommodations

Additional Questions

List the reason(s) you desire to participate in BHC:

List the classes/subjects you would like BHC to provide for your children:

What areas of expertise, experience, and/or education do you bring to BHC?

Are you comfortable teaching a class at BHC?
Yes
No
Not Sure

If you are willing to teach, please list the subject(s) you enjoy teaching:

What age group(s) do you prefer to teach? (check all that apply)
Nursery
Pre-K
Lower Elementary
Upper Elementary
Middle School
High School

Additional Information

Families with a participant who teaches at BHC are exempt from paying class dues. All co-op dues can be found below the "SUBMIT" bottom at the bottom of this page.

To attend BHC, each parent/responsible party must have current, approved background checks as required by Pennsylvania law.

A prescreening interview with the BHC administrative team will be required before applications for enrollment are approved.

To foster the community, we truly need “all hands on deck.” Parents/responsible parties with children participating in any morning classes must remain on BHC premises for the entire morning. Lunchtime and elective period participation is optional, but children must have onsite supervision.

By clicking SUBMIT, I acknowledge that I have thoroughly read the BHC Vision, Mission, and Values Statement and am willing to sign in agreement with the statement.

SUBMIT

Once your application is approved and your family is accepted into the program, you will need to pay the $35 application fee.

See below for a full list of co-op dues.

Dues:

Application fee	$35/family
PK-4th grade core classes (English, history, science, math)	$40/class*
5th-12th grade core classes (English, history, science, math)	$50/class*
Nursery/childcare	Only for parent while teaching – no charge
Electives	$30/semester* if taking academic class(es) $60/semester if taking elective only
Science lab fee:	$20-$35, tbd by subject and material costs

Application Form

Parent/Responsible Party and Emergency Contact Information

Student Information

Student #2 (Optional)

Student #3 (Optional)

Student #4 (Optional)

Additional Questions

Additional Information