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This is our online application.  If you wish to mail your application, go to the section titled "JOIN" in our home page and follow directions for mailing.  If you proceed with this online application, you will receive notification within 24 hours that we have received your application.  If you do not receive an email from us, please contact heritageleader@yahoo.com.

 

  1. Family Information:

    Family  Last Name
    Husband Name
    Wife Name
    Street Address
    City
    Zip Code
    Subdivision
    Church
    E-Mail
    Home Phone
    Cell Phone
    1st Child (name)
    1st  Child (mm/dd/yy)
    2nd Child (name)
    2nd  Child (mm/dd/yy)
    3rd  Child (name)
    3rd Child (mm/dd/yy)
    4th Child (name)
    4th  Child (mm/dd/yy)
    5th Child (name)
    5th Child (mm/dd/yy)
    6th Child (name)
    6th Child (mm/dd/yy)

 

Have you ever been convicted of, or pled guilty or no contest to a crime other than a minor traffic
violation, or are you now under charges for any criminal offense? (A criminal conviction will not
necessarily disqualify you from consideration)     yes                  no

 

Membership Payment Method Please let us know which method of payment you will be using:

by PayPal                    by personal check through the mail              

If you are new to Heritage Christian Home School Support Group (HCHS)

How did you learn about our support group?

- through a Friend:

Friend's name:

- through other: (surfing internet, word-of-mouth, convention, organization)

Other:

Please share with us the curricula, online or outside classes you are using:

We plan to use this data to connect with each other.  Many times, it is a blessing to be able to share lesson plans or carpooling.

Other Curricula1:
Other Curricula2:
Other Curricula3:
Other Curricula4:
Other Curricula5:
Other Curricula6:
 


Copyright © 2003 Heritage Christian Home School Group. All rights reserved.
Revised: 05/27/10