The version of the browser you are using is no longer supported. Please upgrade to a supported browser.Dismiss

Central Arkansas Homeschoolers
Application for Membership and Waiver of Liability


Who are the Central AR Homeschoolers?

The Central Arkansas Homeschoolers group (CARH) was established to provide activities and a close-knit community for homeschooling families in the central Arkansas area. The group, which started with five moms, has quickly expanded to over two hundred families. Our Yahoo Group serves as the primary mode of communication to arrange field trips, clubs, educational events, social events, or any other activity that our members choose to organize. We invite our members to ask questions, provide information, or just vent about the day!

To be eligible for membership in CARH, families must currently homeschool at least one child (ages 4-18) and reside in Arkansas. For the safety of the children and families in the group, we may perform a simple background check using publicly available resources. A volunteer board of home school parents runs CARH. The board welcomes input as our dynamic group expands and changes to meet its membership’s needs.

Please read the following Waiver of Liability and fill out the Membership Application.

Are you a new or returning member?
WAIVER OF LIABILITY
WAIVER OF LIABILITY: CARH “ACTIVITIES” includes all member-led activities as well as CARH-sponsored events, such as 4-H, Activity Fair, and Curriculum Sale. ANY and ALL CARH activities require parent/guardian supervision of his or her own child(ren).

CARH does NOT sponsor drop-off events and is in no way responsible for your child(ren) or your property, at any time.
The term “family” will include the adult children, minor children, parents/guardians of minor children, and other adults (such as grandparents) who will attend events with your family. Please list all family members on this form.

1. CONSENT: In consideration of the opportunity afforded my family to participate on a voluntary basis in CARH, I, as parent/guardian, understand that my children must be supervised by me at all times.

If I am not available, then I must find another adult who is willing to be responsible for my child(ren) while participating at a CARH event.

I further agree that my family’s participation in CARH may be terminated at any time by either the CARH board, or myself.

CONSENT: I understand and agree to the above paragraphs. *
2. Assumption of Risk
2. ASSUMPTION OF RISK: I understand that as a member of CARH, my family is under no obligation to participate in any CARH activity.

I am aware that if my family does participate in any CARH activities, my family may be exposed to personal or bodily injury.

My family’s property may also be exposed to damage. CARH and CARH Board Members will not be liable for the safety of my family or my personal property.

ASSUMPTION OF RISK: I understand and agree to the above paragraphs.*
RELEASE
3. RELEASE: In consideration of the opportunity afforded my family’s participation in CARH, I hereby voluntarily fully waive any rights, actions or causes of action resulting from personal injury or death to any member of my family or damage to property, sustained in connection with participation in CARH activities and agree to hold CARH, its board members, and affiliates, harmless from and against any and all claims, liabilities, rights or causes of action arising out of or as a result of my family’s participation in CARH events.

I AGREE NOT TO SUE CARH, ITS BOARD MEMBERS, OR AFFILIATES, in connection with any injuries, or damages that occur as a result of my family’s participation in CARH activities.

RELEASE: I understand and agree to the above paragraphs.
1st Parent or Guardian First Name
Your answer
1st Parent or Guardian Last Name
Your answer
2nd Parent or Guardian First Name
Your answer
2nd Parent or Guardian Last Name
Your answer
Street Address
Your answer
City
Your answer
Postal / Zip Code
Your answer
State/ Province / Region
Your answer
Your Phone Number
Your answer
Would you like a CARH Member to call you?
Your Email Address
Your answer
Alternate Email Address
Your answer
Your Yahoo ID (If your Yahoo ID is different from the above email addresses, please list it here. If you do not remember your Yahoo ID, please type unsure and let us know as soon as possible.)
Your answer
Children: Please list names and birth dates of all children.
Your answer
Other Household Members (Is there anyone else living in your household, who has not been listed on this form? If so, please state their names here.)
Your answer
KNOWING and VOLUNTARY EXECUTION
4. KNOWING AND VOLUNTARY EXECUTION: I have carefully read this Waiver of Liability and fully understand its contents.
I am aware that this is a release of liability and a contract between myself and Central AR Homeschoolers (CARH) and sign it of my own free will.

By signing this Waiver of Liability, I certify that I am either eighteen years of age (or older) and the parent, or legal guardian, of the above named child(ren), or I am eighteen years of age (or older) and signing the waiver for myself.

KNOWING AND VOLUNTARY EXECUTION: I understand and agree to the above paragraphs.
Please enter today's date
Your answer
Signatures
By typing your name below, you agree that you have read, understand, and agree with every section of this application for renewal. You understand that when you type your name below, you are giving your digital signature. *
Digital signatures are just as binding as hand-written signatures. Please have every adult sign this form by typing their full name below.
Your answer
Notes for the CARH Board:
If you would like to share anything about your family or homeschool with the Board, please feel free to do so. We love getting to know our members!
Type notes below:
Your answer
Verifications: (Please enter two digits below)
Your answer
Renewal
Yearly renewals take place every summer, during June and July. Every member will receive renewal reminders at that time. Current members who do not renew by August 15th will have their memberships discontinued. Discontinued members may re-register as new members.

Thank you and we look forward to seeing you this year!

New Membership
If you are completing this form for new membership, please allow a week for your membership information to be processed. In the meantime request to join our Yahoo group. Details are here: http://www.centralarhomeschoolers.org/join.html (Your membership is not complete until you have joined the Yahoo Group)
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms