LIGHT FELLOWSHIP MEMBERSHIP FORM 2014-2015               

DIRECTORY INFORMATION:  (All forms received by the end of September 2014 will be included in directory) 

 

Last Name _______________________________________ Dad__________________ Mom _________________     

  

Phone ___________________________ Cell: Dad____________________ Mom __________________________    

 

Email:   Dad____________________________________ Mom ______________________________________       

 (Please Note: You will be on an email contact for prayer/info unless you do not have internet access. 

Please let us know the best way to contact you if you do not have email.  Phone or Mail

 

Address _________________________________________________________________  

  

City/State ___________________________________________ Zip __________________     

  

Mailing Address (if different):  ____________________________________________________________________      

 

Children’s Names/Birth Dates/Grade level:        

1.    

5.    

2.    

6.    

3.    

7.    

4.    

8.    

  

Church Affiliation: __________________________________________________ Pastor: _________________________     

  

Curriculum: ______________________________________________________________________________________   

  

How many years have you been homeschooling? ______   

  

Are you a member of Home School Legal Defense Association? YES or NO   

   

We are in agreement with LIGHT Fellowships’ Statement of Purpose, Statement of Faith, and Statement of Doctrinal Distinctives.     

  

______________________________________________________________________________________________________   

(Signature of both parents)PLEASE CHECK OFF JOB SELECTIONS BELOW: # CHOICES 1, 2 & 3 according to preference           

 

__ Business Meeting (Sept/Jan /May):    

     Coordinator__ Helper__     

__ Bowling: Coordinator__ Helper__   

__ Camping: Coordinator __ Helper __   

__ Hospitality: Coordinator__   

__ Directory: copying __

__Field Trips: Coordinator__ Helper__ 

__ Gingerbread Houses: Coordinator__ Helper__   

__ God’s World Papers: Coordinator__     

__ Graduation Committee: ____    

  

__ Nursing Home:  Coordinator__ Helper__    

__ Photographer of LIGHT Events ____    

__ Piano Player for LIGHT functions ____    

__ Proctors for standardized tests: ___     

__ School Pictures: Coordinator___     

__ Summer Family Swims: Coordinator ___   

__Yard Sale: Coordinator___  Helper___    

__ Zoo Program: Coordinator___     

__- ___________________________________    

       (your suggestion)   

  

Please return this completed/signed form with your $20.00 membership fee ($25.00 after May 31st) for those responding with job selections   

OR $40.00 membership fee for those not able to sign up to assist at this time.    The membership fee is NON-REFUNDABLE. 

 

Please  make checks payable to: Tammy Viola 

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