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Primary Last Name Primary First Name Primary Email Username Password Confirm Password Secondary Last Name Secondary First Name Secondary Email If Secondary Email is entered above, should it also receive weekly email and forum notifications, etc.? Yes No Address City State/Country

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For Other Countries State/Province Country

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Section(s) Board Members
Coordinator
Co-op
Volunteer Group
Cross Country Team
Book Club
Yearbook Staff
Year you Started Homeschooling 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 Homeschool Group Administrator:

Additional Questions:

1. Father's Mobile #: 2. Mother's Mobile #: 3. Church Membership: 4. Father's Occupation/Family Business: 5. When is the best time to receive calls: 6. Curriculum we are using: 7. Include in this area any interesting information about your family that you would like to share. 8. I have read the Membership Agreement and agree to follow it during the full duration of our membership in BHE.
(1 required) Yes
9. I have read and understand the Statement of Purpose.
(1 required) Yes
10. We have read and understand the Code of Conduct. All Family members agree to abide by it as long as our family is a member of Brookhaven Home Educators.
(1 required) Yes
11. We, (i.e. all family members), fully understand and agree to the terms of the Waiver of Liability.
(1 required) Yes
12. Why have you chosen to home educate your child? 13. Are both husband and wife in agreement to this decision? 14. If no, explain. 15. Is your family an active member of a local church? 16. If no, explain. 17. If you answered that your family are active members of a local church, does the family attend at least 2 our of 4 Sundays? 18. Have any of your children been dismissed, expelled or suspended from a public or private school? 19. If yes, explain. 20. If yes, can they return to the school system? 21. Why do you wish to join BHE? 22. Which parent does the majority of the teaching?

Brookhaven Home Educators

Brookhaven Home Educators

Brookhaven Home Educators

Brookhaven Home Educators

Brookhaven Home Educators

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