CHEC Registration Form 2011-2012

Fees: $20 Family Fee  *

Family's Last Name

(supply fee later)

Parents' full names:

Mother

____________________________________

Father

____________________________________ 

Address:

 ___________________________________________________________________

 ___________________________________________________________________

Phone numbers:

Home

 ___________________________________

Mother's cell

 ___________________________________

Father's cell/work

 ___________________________________

Email addresses:

Primary

______________________________________________

Secondary

______________________________________________

Email addresses of older students for use by their co-op instructors: 

(Emails will be copied to a parent.  Giving the older students' email addresses is optional.)

Student’s  Name:

__________________

Email:

 ___________________________________

__________________

 ___________________________________

__________________

 ___________________________________

Children registering for the co-op:

Please list the grade as of Sept 1 of each child that is in 1^st grade or higher.  Younger children (nursery, pre-school and kindergarten) will be placed using their birthdates.   Use back of page for more children.

Name

Birthdate

Grade

*PLEASE NOTE:  Official CHEC registration is not complete until all required forms and fees are in. 

Additionally, the CHEC board will consider a family for CHEC only after they have been active in our

homeschool community for at least one semester and after contact has been made with the family's pastor.