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SCCCHE
St. Clair County Christian Home Educators
2011-2012 School Year Membership Form
.
Single Parent
Husband First Name
Husband Last Name
Wife First Name
Wife Last Name
Address
City
State
Zip Code
Primary Phone
Secondary Phone
Tertiary Phone
Primary Email
Confirm Primary Email
Secondary Email
Confirm Secondary Email
Church
Church City & State
Regular Attender
Denomination
List of Children
Add child
First Name
Last Name
Grade
Homeschooled?
No names entered.
Preschool
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
Freshman HS
Sophmore HS
Junior HS
Senior HS
Adult
Curriculum
Year Started Homeschooling (e.g., 2001)
Do you belong to the Home School Legal Defense Association?
Yes
No
Would you like more information concerning HSLDA?
Yes
No
As a member of the St. Clair County Christian Home Educators, I will adhere to the following:
You must show your agreement with all the statements below by checking all checkboxes
.
I will not hold the group responsible for any injuries or accidents that may occur.
I agree to compensate any facility for damages that may result from any action that would be caused by an immediate member of my family.
I will ensure by children are properly supervised at all times.
I agree with the
Statement of Faith
of the SCCCHE Support Group.
I understand and agree that I will be responsible for all fees prior to registration (library fees, yearbook, P.E., etc.)
I agree to ensure that our family is in compliance with the
SCCCHE Modesty Guidelines
.