Each adult member of our co-op must sign and return this signature page to Lighthouse Co-op upon registration. If you have any questions about the statements herein, please see Angie Staudt or Kristi Hackman. Thank you.

I state that I am not currently, nor have I ever been, involved in a violent crime, sexual misconduct of a criminal nature, or any crime involving a minor.

Signature: __________________________________ Date:___________________

I state that I have read, understand, and will abide by the Rules of Conduct for Lighthouse Learning Home School Co-op.

Signature: __________________________________ Date:___________________

I understand that I am responsible for the safety of myself and my children at regular co-op meetings, as well as other activities sponsored by Lighthouse Learning Co-op, as set forth in the Family Agreement.

Signature: __________________________________ Date:___________________