LIGHT Social Membership Information Form 2021
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.
Mom's First and Last Name *
Spouse's Name *
Email *
Phone *
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 long have you been homeschooling? *
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. *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy