New Member Form
New Member Form to Join Learning Differences Homeschool Network of Southeast Texas

Please tell us something about yourself and your kids.
ALL INFORMATION provided by you will remain confidential between you and the group's creator.

Your name:
Your answer
Your Facebook name:
Please help us match you correctly. If your name is different on Facebook, please select 'Other' and enter your Facebook name. If you do not use Facebook, please indicate that.
Your email address:
Your answer
Your phone number(s):
xxx-xxx-xxxx
Your answer
Your kids' names and ages:
Your answer
Where do you live?
Your answer
How did you find this group?
Your answer
What diagnoses does your family deal with?
Your answer
How long have you been homeschooling?
Your answer
What are your homeschooling goals?
Your answer
What do you most want from a special needs homeschool group?
Your answer
Do you have any special interests or skills you'd like to share with the group?
Your answer
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