CHE MEMBERSHIP APPLICATION

NAME   P.O. BOX
STREET   CITY
ZIP CODE   PHONE
EMAIL    

Local Group(select one)

I would like to assist my group by:
(check as many as you like)
 Planning a field trip Providing overnight hospitality
 Assisting with a major event Assist with Thanksgiving Feast
 Setting up for an event Cleaning up after an event
 Bringing refreshments or meals Hosting an event in my home
 Speaking at an event Counseling new home schoolers
 Babysitting for a busy leader Writing an encouraging Newsletter item
 Assisting Area Leaders Other

I have read, understood and agree with the benefits and responsibilities of CHE membership. I also agree to abide by the Field Trip and Event Behavior Guidelines for myself and my family during CHE activities.

PLEASE CHECK ONE OF THE STATEMENTS BELOW.

I AM A PRIVATE HOME SCHOOLER, NOT ASSOCIATED WITH A PUBLIC SCHOOL ISP(Independent Study Program) OR CHARTER SCHOOL
I AM ASSOCIATED WITH A PUBLIC SCHOOL ISP UNDER EXTENUATING CIRCUMSTANCES AND THEREFORE APPLY FOR AN EXEMPTION. (Please submit letter of explanation)

 Signed:

Please print this out and mail application and $20.00 membership fee to:
Christian Home Educators
P.O. Box 1363
Ferndale, CA 95536