Request Membership

Fill out the form below and click the Continue button at the bottom.

FCCP Christian Homeschool Co-op membership dues are $50.00 annually per family.

Membership year runs from August 1st to July 31st.

(Cost for membership from Jan 1st - Aug. 1st is $25.00.)

 

Membership is valid from now through July 31st, 2015.

 

You may pay via PayPal (for an additional fee of $2.00)

 

or

 

Make your check payable to "FCCP" for $50.00 and mail to:

 

FCCP

c/o Susan Wood
1738 SE 159th St.
Portland, OR 97233


If you have questions, please contact:

Susan Wood
503-775-6720
membership@fccentralpdx.org

 

 

 

Check here if you have read and agree to the TERMS OF SERVICE.

* indicates a required field
*Last Name:
*Primary First Name:
Spouse First Name:
*Address:
*City:
*State/Country:
For United States and Canada:
For Other Countries:
State/Province:
Country:
*Zip/Postal Code:
*Phone:
Phone 2:
*Email:
Additional Email Address(es):
Separate multiples with a comma.
If additional email address(es) are entered above, should they also receive weekly email and forum notifications, etc.?
Yes     No
Children:
*User Name: (must be 3-15 characters long)
*Password: (must be 3-15 characters long)
*Confirm Password:
 
Church Affiliation:
Year you Started Homeschooling:
*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
Many Emails: Would you like to receive notifications IMMEDIATELY?
Yes      No
Delivery Type:
Whole Thread      New Part Only
Daily Digest: Would you like to receive notifications ONCE A DAY?
Yes      No
Classifieds - Many Emails: Would you like to receive ALL classified notifications IMMEDIATELY via email:
Yes    No
Classifieds - Daily Digest: Would you like to receive ALL classified notifications ONCE A DAY via email?
Yes    No

Additional Questions:

1. *

Emergency Contact Name:

2. *

Emergency Contact Phone:

Type in the text that you see above: