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    Membership Application 2015

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    api-324085059
    This document is a membership application for a Christian homeschool support group. It requests basic contact and family information such as names, addresses, phone numbers, and children's details. It also includes an optional survey about homeschooling experience, curriculum, and interests in various subgroup programs. The annual membership fee is $25 per family. Applicants must agree to the statement of faith and educational goals and sign the application.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Membership Application 2015

    Uploaded by

    api-324085059
    39 views1 page
    This document is a membership application for a Christian homeschool support group. It requests basic contact and family information such as names, addresses, phone numbers, and children's details. It also includes an optional survey about homeschooling experience, curriculum, and interests in various subgroup programs. The annual membership fee is $25 per family. Applicants must agree to the statement of faith and educational goals and sign the application.

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    membership-application-2015

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    This document is a membership application for a Christian homeschool support group. It requests basic contact and family information such as names, addresses, phone numbers, and children's details. It also includes an optional survey about homeschooling experience, curriculum, and interests in various subgroup programs. The annual membership fee is $25 per family. Applicants must agree to the statement of faith and educational goals and sign the application.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    39 views1 page

    Membership Application 2015

    Uploaded by

    api-324085059
    This document is a membership application for a Christian homeschool support group. It requests basic contact and family information such as names, addresses, phone numbers, and children's details. It also includes an optional survey about homeschooling experience, curriculum, and interests in various subgroup programs. The annual membership fee is $25 per family. Applicants must agree to the statement of faith and educational goals and sign the application.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    MEMBERSHIP APPLICATION

    LAST NAME_______________________FIRST___________________SPOUSE___________________
    ADDRESS____________________________________________________________________________
    CITY_________________________ZIP________________E-MAIL______________________________
    HOME PHONE_________________CELL__________________EMERGENCY____________________
    Childrens Names

    Birthday

    Age

    _________________
    _________________
    _________________
    _________________
    _________________

    _________
    _________
    _________
    _________
    _________

    ______
    ______
    ______
    ______
    ______

    Home
    or Public School
    _____________
    _____________
    _____________
    _____________
    _____________

    Email address for child to


    participate in childrens elist
    _______________________
    _______________________
    _______________________
    _______________________
    _______________________

    SURVEY (OPTIONAL):
    How many years have you home schooled?________ or check here if this is your first year____________
    What curriculum does your family primarily use?_____________________________________________
    Do you use an umbrella school, video, or satellite programs?_______ Which one?___________________
    Does your family have a home church?_________ Which one?__________________________________
    What types of business or occupation are represented in your home?______________________________
    What are your hobbies, gifts, or talents?_____________________________________________________
    If a need arises would you be willing for us to approach you regarding a use for those talents?__________
    What is moms birthday?________________________________________________________________
    Do you have any information to share with the group regarding upcoming co-ops, classes, or events as we
    prepare the years schedule?______________________________________________________________
    Would you like to be added to CHS facebook group?__________________________________________
    Circle the following if you are interested in receiving further information regarding any of these
    sub-groups:
    Little Leaders
    Boys Group
    Girls Group
    Junior High

    High School

    Moms Night Out

    *Note: Not all groups may be available at this time*


    FEES:
    CHS yearly membership fees are $25 per family.
    CHS Membership

    (just $20 if received prior to 9/5/15)

    $25.00

    $______________pd___

    Please make your check payable to CHRISTIAN HOMESCHOOL SUPPORT and return the Membership Application and Release of
    Liability forms to CHS at the address below.

    I have read and understand the CHS Statement of Faith and am actively educating my child(ren) with legitimate
    educational goals and a determined course of action to meet those goals. I understand that my personal information
    will not be sold or shared with any entity and is for the sole purpose of networking with CHS members. I understand
    that I may not use the Member Roster I receive as an advertising tool for any business of any type or use CHS activities
    to promote my business.

    Parent/Guardian Signature________________________________

    Date:______________________

    Parent/Guardian Signature________________________________

    Date :______________________

    P.O. Box 901, Loxahatchee, FL 33470


    Website: http://christianhomeschoolsupport.org

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