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Collierville
Homeschool Support Group
School Year 2007-2008
To join the Collierville Homeschool Support Group, please fill out this
form and turn it in with your ANNUAL dues of $15. Forms and dues can be
turned in at a meeting or mailed to Rachel Byrd, 1170 Payne Road, Oakland,
TN 38060. Please make checks payable to Collierville Homeschool Group. This
information will be published on our yahoo group members’ list.
Please fill out all the information
Parents Names:________________________________________________
A ddress:_____________________________________________________
City:_________________________ State:___________________________
Phone Number:________________ Cell Number:______________________
E-mail address:_____________________ MHEA member?______________
Do you mind if your child(ren)’s photo is taken at events and the picture
posted on our member site? ______
What about group photo sent to a newspaper to be printed?_________
Children’s information (please list all undergraduate children living at
home):
1st Child Name:____________________________ Age:_______________
Grade entering:_____________________ Birthday:___________________
2nd Child Name:___________________________ Age:_______________
Grade entering:_____________________ Birthday:___________________
3rd Child Name:___________________________ Age:_______________
Grade entering:_____________________ Birthday:___________________
4th Child Name:___________________________ Age:_______________
Grade entering:_____________________ Birthday:___________________
5th Child Name:___________________________ Age:_______________
Grade entering:_____________________ Birthday:___________________
6th Child Name:___________________________ Age:_______________
Grade entering:_____________________ Birthday:___________________
Committee sign-up (choose your top three and rank in order of preference
with 1 being highest)
| ____Meeting hospitality |
____Welcoming/mentoring |
____Teens committee |
| ____Younger Crafts |
____Geography Bee |
____Tweens committee |
| ____Older Crafts |
____Book Sale |
____Elementary committee |
| ____Book Reports |
____Field Trips |
____K/1st committee |
| ____Benevolence |
____Testing |
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I accept and agree to follow the Collierville Homeschool guidelines.
Signature
___________________________________________________________
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