Homeschool Tangipahoa Membership Application 2021-2022
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Father's Full Name
Mother's Full Name
Mailing Address *
Email Address *
Father's Cell Phone Number
Mother's Cell Phone Number *
Home Phone Number
Child 1 Name *
Child 1 Age *
Child 2 Name
Child 2 Age
Child 3 Name
Child 3 Age
Child 4 Name
Child 4 Age
Curriculum Used *
I have read and I agree to the Statement of Faith. *
Read our Statement of Faith at:
I have read and I agree to the Statement of Family & Education. *
Read our Statement of Family & Education at:
I have paid my 2021-2022 membership dues. *
Pay the $15.00 annual membership dues at
I hereby, for myself and my spouse, assume any and all risks which may be associated with club activities, including classes and co-ops. I further waive, release, discharge and covenant not to sue Homeschool Tangipahoa, its officers or its members for any injuries or loss of any kind suffered as a result of taking part in co-ops, classes or activities. I also agree to the use of photos or videos from any events for the Homeschool Tangipahoa private Facebook group. *
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