Request Membership

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

****ATTENTION****

This form is NOT the application for membership, but a form used to register current EtCH families to the private website.  Please visit the How Do I Join? tab to find our membership application and information. Thanks!

Please contact Kerri Goodman at etch.coop@gmail.com to request more information about us. Our group is a true cooperative of parents coming together to build an excellent experience for our children. Because of this, we want to meet with you and allow you the opportunity to get to know EtCH better so we can assure that we are right for your family.

After membership is approved, you may fill out the membership information below.  We are excited to hear from you!

Current EtCH members ~  Please fill out the form so that you will be able to access the website and all its features.

* 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:
* Timezone:
*Phone:
Phone 2:
*Email:
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
Message to Group Administrator:

Additional Questions:

Emergency Contact Info
(Other than the person present at co-op.)

1.

Emergency Contact (first & last name)

2.

Emergency Contact Phone #1

3.

Emergency Contact Phone #2

4.

Additional Information

Type in the text that you see above: