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Membership Form

* Group:
Class Day (16 Fridays)
Club Tutorials (Tuesday and/or Thursdays)
Teacher/Tutor (Independent Contractor)
* Parent(s) Names:
* Street:
* City:
* Zip:
* Home Phone:
Cell Phone:
Fax:
* Email:
* How often do you check your email?
Never Often
Seldom Daily
Preferred mode of correspondence:
I prefer you call me
I prefer you email me
How did you hear about Group Solutions?
internet, friend, phone book, ACHEV, CASA, OTHER?
Who do you know that attends Group Solutions?
How long have you been educating your children at home?
Years
What other support groups do you belong? ACHEV, CASA, OTHER
Are you a current member of HSLDA(www.hslda.org)?
Yes
Children:
Name
DOB
mm/dd/yyyy
Age
Boy
Girl
Grade
* What church do you attend?
* Denomination?
* Describe your relationship with Jesus:
* Do you belong to an ISP or have you filed an affidavit?
As a parent/teacher, in what of the following areas are you interested (i) or have some
knowledge (k)? Put a star by your 3 favorites!
Foreign Language Cleaning Math Cooking
Bible Missions Science Hospitality
Crafts Music History Art
Poetry Finances Geography Health
Field Trips Drama Practical Living Social Studies
Literature PE Sewing Sports
Composition Secretarial Bookkeeping Social Skills
* Write about your family and how you might benefit from being a part of Group Solutions:
* Describe any teaching qualifications you may have or teaching experiences (if any):

 

 

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