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LIGHT Social Membership Application Form 2022-2023
Please submit the following information. You will then receive a document from SignRequest asking for your signature on our Liability Form and our Code of Conduct.
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Mom's Full Name *
Spouse's Full Name
Email address *
Phone Number *
Address *
Name and Birthdate of Child #1 *
Name and Birthdate of Child#2
Name and Birthdate of Child #3
Name and Birthdate of Child #4
Name and Birthdate of Child #5
Name and Birthdate of Child #6
Name and Birthdate of Child #7
Name and Birthdate of Child #8
How many years have you homeschooled? *
In which LIGHT activities would your family be most likely to participate? *
Required
I agree to submit my payment of $25 via PayPal to Light Katy Coop, and submit completed forms I will receive from SignRequest. *
As a LIGHT member, I understand LIGHT Social is intended for families who are seeking to or who are actively homeschooling.  In the event that homeschooling is no longer the right fit for my family I agree that it is my responsibility to notify the LIGHT Leadership. *
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