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Primary Last Name Primary First Name Primary Email Username Password Confirm Password Secondary Last Name Secondary First Name Secondary Email If Secondary Email is entered above, should it also receive weekly email and forum notifications, etc.? Yes No Address City State/Country

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Church Affiliation Curriculum/Teaching Style Year you Started Homeschooling Family Business/Services Weekly Email Update: Would you like to receive a weekly email update? Yes No Forum Emails: Would you like to receive forum notifications via email (not just the ones you create)? Yes No

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Additional Questions:

1. Level of Membership:
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2. We have read, understand, and agree with the Mission & Statement of Faith of Agnus Dei CHSA.
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3. We have read, understand, and agree to the Waiver of Liability of Agnus Dei CHSA.
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Agnus Dei Catholic Home School Association

Request Membership in this Homeschool Group