Membership RENEWAL

* indicates a required answer.

Southwest Georgia Homeschool Association

2014-2015 Membership Form

Statement of Agreement

             I/We have read the Constitution and By-Laws of SWGHA and are in agreement with the statements of authority, purpose and belief of this organization.  Furthermore, I/We agree to abide by said guidelines (Article VI, Section 4) of the By-Laws. SWGHA is a Christian organization of homeschoolers.  We are open to Christians of all affiliations and non-Christians as well; however, all should understand that we are committed to Biblical standards in all that we do.  Our guiding principles are Deuteronomy 6:4-7 and Leviticus 19:18c.

            I/We have read and agree to abide by the SWGHA Waiver and Code of Conduct.

             As a volunteer organization, each family is relied upon to help assist with activities and events. I/We agree to lead or assist with an event, teach, clean, or help in some capacity for the benefit of SWGHA and members.

 

1.*

By checking the box below, I acknowledge that I have read and agree to abide by the statements above.

Please complete the following as you would like it to appear in the directory. Information in CAPS is required. 
2. *

PARENT(S) NAME (First and Last Name):

3. *

STREET ADDRESS:

4. *

CITY, STATE,  ZIP CODE:

5. *

PHONE #:

6.

Cell #(s):

7. *

Email address(es):

8.

Occupations:

9. *

CHILD'S NAME(1)/ DOB/ AGE/ GRADE:

10.

CHILD'S NAME (2)/ DOB/ AGE/ GRADE:

11.

CHILD'S NAME(3)/ DOB/ AGE/ GRADE:

12.

CHILD'S NAME(4)/ DOB/ AGE/ GRADE:

13.

CHILD'S NAME(5)/ DOB/ AGE/ GRADE:

14.

Are you a new homeschooler OR how long have you homeschooled (number of years)?

New homeschooler 1-3 years
4-6 years 7-9 years
10-15 years more than 15 years
15. 

Curriculum used:

16.

If you attend church, please indicate where:

17.
Membership Fee (Check one):
$40.00 – if received by August 1, 2014 (Newsletter received online)
$50.00 – if received by August 1, 2014 (Newsletter received by mail-Uncommon - only if newsltter by snail mail is needed)
$15.00 – late fee if membership dues received after Sept. 1, 2014
 
$55 (newsletter online) $65 (newsletter by mail)

PLEASE MAKE CHECKS AND MONEY ORDERS PAYABLE TO SWGHA OR USE OUR SAFE, SECURE, AND SIMPLE PAYPAL OPTION FOR QUICKER OPTION.

 

 

                                                           

 

SWGHA Waiver and Code of Conduct

The undersigned hereby acknowledge that the activities and/or programs in which they, or their minor children, may be involved at Beattie Road Church of Christ (BRCC), as arranged by the Southwest Georgia Homeschool Association (SWGHA), have inherent risks of accident and/or injury, which risks the undersigned expressly assumes.

While BRCC and SWGHA shall take reasonable measures to insure a safe environment, the undersigned hereby voluntarily waives and relinquishes any and all rights, claims, or causes of action which might otherwise be brought against BRCC or SWGHA and its’ officers for any accident and/or injury which might occur to the undersigned, or their minor children.

The undersigned further acknowledges that many of the activities and/or programs at BRCC, as arranged by the SWGHA, require that the participants be in good health.  By execution of this document, the undersigned hereby affirms that they, and their minor children, are in good health, or have consulted with their physicians, who have advised that they, or their minor children, are in suitable health to participate in SWGHA programs and/or activities.

All participants are expected to be engaged in a SWGHA activity or program while on the BRCC property.  No loitering is allowed.  All children under the age of 16 must be supervised by a parent, or be enrolled in a SWGHA program where supervision is provided.

All participants are expected to respect the personal property of SWGHA members and the BRCC property.

Inappropriate behavior or conduct is unacceptable.  SWGHA board of directors retains the right to determine what constitutes inappropriate behavior or conduct, and retains the right to deny participation in any SWGHA activity or program.

These guidelines shall be in force at all times, regardless of the location of the SWGHA function (e.g., on field trips, at churches other than BRCC, etc.).  The undersigned acknowledges that BRCC and SWGHA are relying on this waiver and release. (Parents, please review this with all family members.)

                                                                                                                                            

18. *

By signing electronically (by typing my firstlastname/) I acknowledge that I have read and agree to abide by the SWGHA Waiver and Code of Conduct.