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Membership I-Form

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Catoosa Home Education Association
Membership Application for August 1, 2010 - July 31, 2011
1.
*

Membership status
Renewing Member New Member
2.
*

Name, First and Last  (husband and wife)
3.
*

Street Address
4.
*

City, State and Zip
5.
*

Home phone number
6.
*

Cell phone number
7.
*

E-mail address - please make sure this is correct as all our communication is done via e-mail to our members.
8.
*

Confirm e-mail address
9.
*

Annual Dues - Make checks payable to CHEA (Choose one from drop-down list.

Our dues include access to a very extensive website which includes a calendar of events, field trips, community activities, prayer requests, forums, classifieds, links and more!  All group communication is through the website, so you need to sign up online also using the link "Member Website Signup."  Please note that the information you supply for website signup will be the information provided in the membership directory.
10.
*

Please list children's names and birthdates (note those who are of school age but are not homeschooled with an *)
11.
*

By selecting "Yes" in the box below, we certify that both husband and wife have read and agree to abide by the CHEA By-Laws including those governing the use of the website.  We understand that by submitting this I-form, we agree that the CHEA Membership Directory will be distributed to CHEA members only.  Directory information is not to be copied, reproduced or given out to nonmembers.  We further understand and agree that the directory is not to be used for solicitation.  By submitting this I-form, we also allow CHEA to use photographs of CHEA events for the member section of the website, yearbook and newspaper articles. 

(1 required)
Yes
 

 

 

 

 

 

 

 

Go to boxtops4education.com and register to support the Catoosa Home Education Association (CHEA) by clicking on the "sign up now" link at the top of the page.  CHEA receives 5 Bonus Box Tops (.50) for each new registrant!

 

FOCUS ON FUNDRAISING

BOX TOPS FOR EDUCATION & USED CELL PHONES