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Membership I-Form

* indicates a required answer.

Catoosa Home Education Association
Membership Application for August 1 - July 31

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. *

Emergency Contact 1

e.g., John Doe  (999) 999-9999

8. *

Emergency Contact 2

e.g., Jane Doe (999) 999-9999

9. *

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

10. *

Confirm e-mail address

11. *

Please list all children's names and birthdates (note those who are of school age but are not homeschooled with an * and include method of schooling ie public online, public or private school. )

12.*

Please read CHEA's online public school policy located on our website.  Families who exclusively use online public schools (such as Georgia Cyber Academy or Tennessee Virtual Academy) are not eligible for CHEA membership.  Families must have at least one homeschooled child to join CHEA. 

 I have read and agree to abide by CHEA's online public school policy.

13.*

Volunteers

Our Volunteers are an essential element of our group.  Without you, activities such as field day, parties, field trips, P.E., and play dates would not exist.  Please select all the areas you would be interested in assisting.  You are not committing to volunteering, just giving us an idea of your areas of interest.  Also, our goal is that each volunteer position take no more than an hour or two of your time.  A coordinator will contact you shortly. We thank you in advance for your generosity and willingness to volunteer.   

 

 (1 required)
Board President Board Vice President
Board Secretary Board Member at Large
Board Treasurer Back to School Picnic and Yearbook Signing
Christmas Party Community Events (put on calendar):
Community Service End of School Party
Fall Event Field Day
Field Day Lunch Field Trips, Elementary
Field Trips, Middle/High School Geography Fair
Girls' Middle/High School Socials History Fair
Mom's Night Out Playdates
Photos on Website Science Fair
Thanksgiving Feast Valentine's Day Party
Website Businesses and Classes Website Webmaster
Yearbook Events Coordinator
Boys Middle/High School Socials
14.*

This is a volunteer based organization that can not survive without the effort of our event coordinators.  Please show respect and appreciation for their work.  If you have problems, please contact any member of the board, not the event coordinator.  

I have read and agree to abide by this policy.  

15.*

By selecting "yes" in the box below, we are indicating that both parents understand that parents are responsible for the safety of their own child/children at all CHEA events and activities.  

16.*

Legal Disclaimer

  1. By selecting "Yes" in the checkbox below, we certify that both husband and wife agree that the Catoosa Home Education Association (CHEA) is not a legal entity with liability insurance.  All participation is voluntary and parents will rely on their own insurance or other means to cover any accidents which may require treatment for themselves or any of their children during any CHEA activity.  
  2. By selecting "Yes" in the checkbox 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
17.*

Liability Release

Lastly, by selecting "Yes" in the checkbox below, we assume that when you submit this request for membership, you and your husband have read and agree to the following liability release:  

This release is being submitted electronically in consideration of being accepted for participation in the Catoosa Home Education Association ("CHEA") homeschool group meetings, activities, field trips, and events ("Activities").  

On our (my) own behalf and on behalf of our (my) children, heirs, successors, and assigns, we (I) hereby forever release, discharge, and agree to indemnify and hold harmless CHEA, and each of its officers, volunteers, agents, members, representatives, and all owners and operators of all locations at which CHEA holds its Activities (collectively "released parties") from any and all liabilities, claims, costs, demands or causes of action, whether known or unknown ("claims") that we (I) may now or hereafter have for injuries or damages arising out of (my) participation in CHEA Activities.  

We (I) understand and acknowledge that dangers of personal injury or sickness are or may be inherent in participating in such Activities, and we (I) expressly and voluntarily assume all risk of death or personal injury sustained in such Activities, including but not limited to the risks incurred in all these Activities and those arising from hidden, latent or obvious defects in any facilities or equipment used.  We (I) acknowledge the possibility that our (my) successors or we (I) may not fully know the number or magnitude of all claims, and agree that the release is a full and final release of all claims.  This release is intended to be binding upon our (my) heirs and assigns.  

By submitting our request for membership, we (I) affirm having read it and acknowledge having had sufficient opportunity to have this agreement and release reviewed by our (my) counsel, if so desired.  

 (1 required)
Yes
18.*

Catoosa Home Education Association
Membership Application for August 1, 2019 - July 31, 2020

Note:  Please indicate the event coordinator position held on your membership renewal check to receive discount.  Please contact a board member if you are unsure if you qualify for the event coordinator discount.

Membership Information:  

  • All memberships expire on July 31st.  
  • Early membership renewals:  May 1 through May 31.
  • Regular rate renewals:  June 1 through July 31.
  • Membership Parked:  Logon will not be permited for any member who has not renewed by August 1. 

CHEA Website Access

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 "Request Membership" if you are a new member.  The "Request Membership" link is located at the top of this page and should be completed after  this Membership I-Form has been submitted.  Please note that the information you supply for "Request Membership" signup will be the information provided in the membership directory.

 

19. *

Signatures

This listing is your electronic signature for the Liability Release.  Please list the first and last name of all immediate family members (parents and children living in your home) who will be participating in CHEA events, and list any grandparents that may potentially attend an activity with you (e.g., field trip, pool party).  CHEA events include our sponsored events, and organized events at an alternate location such as a field trip.  You must read and sign the form in order for your membership to be processed.