Directory Information Form
Information from this form will be used to compile our directory. Please be sure to include your e-mail address – this address assists us in sending alerts and last minute notices to you.
(PLEASE TYPE OR PRINT CLEARLY)
Name of Parents or Guardian___________________________________Phone
Do you wish to have your
e-mail address published in our directory? yes____ no ____
Children (Please include
those who are not home schooled too)
Type of Curriculum Used (This
information is used to help others when questions about curriculum arise.
Your details, including grade level, help!) ______________________________________________________________________
Privilege Fee – $10.00: Includes Heart & Home monthly newsletter and a copy of our directory for the current year. (July 1 – June 30): A portion of the Privilege Fee will help to cover incidental expenses of the support group. Check here if you do not have email and need a copy of the newsletter mailed to you each month. ____ Please note: The email version is sent as a MS Word attachment. If you do not have MS Word on your computer, you may have difficulty in opening it correctly. Please check here if you have email but DO NOT have MS Word available. _______
PLEASE NOTE: You do not have to pay the "Privilege Fee" to participate in the meetings or activities of Heart and Home Educators. The "Privilege Fee" simply covers the costs of printing the directory, postal fees, and other incidental expenses of the group, which can include group-sponsored activities throughout the year.
___ Yes, I would like my
family profiled in the newsletter this year (very general info to help
us get acquainted w/ the families in our group.) Please list any info you
would like shared (e.g. hobbies, interests, special talents)