CHEF of St. Charles/FHE 2002-2003 MEMBERSHIP APPLICATION **Please provide all information as thoroughly as possible.** |
Parents: ______________________________________________________________________ mother first name father first name Last name Home Address _________________________________________________________________ City __________________________ State ________ Zip__________ Phone________________ E-mail Address (if applicable)_______________________________________________ Church Affiliation ________________________________________________________ If teacher is other than parent, please give name and relationship _______________________
1.____________________________________________________ 3.____________________________________________________ 4.____________________________________________________ 5.____________________________________________________ 6.____________________________________________________ Which Plan will you be using to Home Educate you Children? Home Study ___Private School___ *List any skill, sport, subject, etc. that you would be willing to tutor, teach or assist with tutoring/teaching. _______________________________________________________________________________ _______I/We do not wish the above to be included in a directory or given out in any form. How would you like to get your newsletter? Mailed______ E-mail ______ Signature: ___________________________ Relationship to student: _____________________ Signature: ___________________________ Relationship to student:
______________________ Note: This form, the signed Statement of Faith, Family
and Education, and dues of $20 are required for processing. Please contact us
for information about mailing the forms. |
