Passwords must be at least 8 characters long and include at least 1 alpha (A to z), 1 number (0 to 9), and 1 of these special characters:  ~!@#$%^&*()"'*+,-/:;<=>?|{}[].

Usernames must be at least 6 characters long.

Untitled Header Image Providing support & encouragement through the high school years CHAMPIONS - Culpeper Homeschoolers and Mentors Partnering, Instructing, Offering iN Service 2023-2024 Scripture challenge: Love One Another. John 15:12 Serving homeschool families since 2010

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Request Membership in this CHAMPIONS for Christ

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

Before applying, we require all prospective families to read our Family Manual, which includes our Statement of Faith.

After we receive your application, you will be contacted to set up a short interview with some of the CHAMPIONS Officers. 1 parent and all students applying to join CHAMPIONS are required to attend this interview.

Please note: Membership in CHAMPIONS for Christ is not guarenteed. The CHAMPIONS board reserves the right to deny membership as it deems necessary. 

*For primary name, please put mom or dad. For secondary name, please enter the other parent. 
*When you add your students' names, please enter first and last names. Please only add children who will be students THIS school year. 

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Upload Family Photo (Optional) .jpg, .gif or .png

Children

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If Student Username and Password are both provided, child will have the ability to login.

Upload Child Photo (Optional) .jpg, .gif or .png

List any special educational needs or struggles mentors should be aware of that will affect learning. If none, leave blank.
This is confidential and only viewable to board members and mentors.  
 

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Please select all the permissions that apply regarding the use of photos.

Note: Sometimes Mentors take photos during labs or activities and will share those with families via email. It is fun to see what the students are doing in class. Those only go to all the families of the students enrolled in the class.  

My student's photos may be used for the following: 

Used in the anual CHAMPIONS yearbook.Mentors may share with other class member families
Used on the members-only side of the website.Photos may NOT be used for any reason.

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Additional Questions




By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.
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