Sign-up Form

to join the local

Homeschool Support Group:

L.C.C.E.A.

(Lower Columbia Christian Education Association)

Please click to "Full Screen" and then print this out and mail it with your check or money order for the appropriate amount to:

Send to:  Vern Johnson, L.C.C.E.A. Treasurer  /  P.O. Box 622   /  Kelso, WA  98626

Parent'(s') name(s): ________________________________________________________________

Children's names and ages: ___________________________________________________________

Address: ________________________________________________________________________

City/State/Zip: ____________________________________________________________________

Phone Number:  ___________ - _____________________

Email Address: _____________________________________________

Website Address? ________________________________________________________________

Curriculum and/or Homeschool Approach you are using: ____________________________________

_______________________________________________________________________________

I am (already) serving in the following capacity: ___________________________________________

Areas I'd be willing to help in: ________________________________________________________

~~~STATEMENT OF FAITH~~~

___ I have read LCCEA's Statement of Faith and am in complete agreement with it, and therefore eligible to vote and serve as an officer in the group.

___ I have read LCCEA's Statement of Faith and am unable to say that I am in complete agreement with it, and therefore understand that I am eligible to attend meetings and participate in the group's activities, but am not eligible to vote or serve as an officer. (But I AM eligible to serve in another capacity.)

~~~TYPE OF MEMBER~~~

Please check one of the following:

  ___ I am signing up as a "Hard Copy Member" which entitles me to receive the Newsletter by mail).......$17

  ___ I am signing up as an "E-Member" which entitles me to receive the Newsletter by email...................$12

Amount enclosed: $____________