Last Name     

  Main Teacher              Spouse      

  Address              Address 2   

   City                   Zip   

   Home Phone       Cell Phone         Include cell # in Directory

   E-mail Address                 

   Year you started homeschooling:     Name of Church 

   Registered with:   (check one)    County       Nontraditional Private School        Not registered

   Name of County or School Registered with:            Check only if you do NOT homeschool in Florida

    Children's Names (First and Last)                             Birthday  (MM/YY)       Grade Level     Gender  (M/F)

       Additional children:

      As a parent-led support group each member is encouraged to serve in some area. 

      Please indicate where you desire to serve:  Please select at least three areas.

      Parents who have been CHESF members for one year are encouraged to serve on the Steering Committee as officers or coordinators.

          Steering Committee:   Fellowship Coordinator            Membership Coordinator          Educational Fairs Coordinator

                                                 Communications Coordinator   Commencement Coordinator    Field Trip and Activities Coordinator

           Organize Monthly Meetings/ Events: Family Meetings / Workshops Family Fellowship  Education Fair:   Aug. Information Night    Used Curriculum Fair

           Other Leader:              Newsletter Editor        Webmaster      Yearbook Advisor      Mom's Night Out Chairperson      Sports Liaison

           Committees:                Phone         Yearbook          Mentoring            Commencement              Refreshment              Setup / Cleanup

           Field Trips and Activities          Elementary    Middle School  High School    Community Service        High School Formal

           Other:  

           I am willing to present a workshop / to arrange a workshop on (topic)

           I am willing to plan a field trip to        

    I plan to purchase a 2009-2010 yearbook.

      Guiding Premise

Most educational systems are based upon moral and philosophical premises.  The pioneering families dedicated to home education established CHESF on Christian ethics as expressed in the Gospel of Jesus Christ through the authoritative Word of God.  Meetings and activities sponsored by CHESF will reflect our Christian principles, yet membership shall be open to those who do not share this faith.  It shall be the obligation of every member to act in such a way that would not inhibit, offend, or infringe upon the freedom of those who choose to express their Christian faith in CHESF activities.

      Acknowledgement of Responsibility 

By my e-signature below, I acknowledge that at all times and in all CHESF functions I am responsible for the conduct and safety of my children.  Because CHESF is a volunteer organization, I recognize that my or my children's participation in any event is entirely voluntary; and that the officers, directors and members of CHESF have no control over the conduct of individual members, circumstances or events occurring at CHESF functions or field trips.             I assume full responsibility and liability for my children.    Unless provided in writing, I grant permission to publish event photos of my child(ren) and or family members.  Unless indicated include our information in the CHESF Membership Directory.                  Do NOT include me in Directory.   

                  Parent Signature   (type name)         Date     MM/DD/YY

                  Parent Signature   (type name)         Date    MM/DD/YY

       CHESF Membership for 2010-11 is       $45.00        includes membership in FPEA

                                                                            $27.00       CHESF only.  If already member of FPEA, .joined  through  

                                                                               $5.00       discount if paid on or before July 31st

                                                                                                   FPEA # (if known)

       I have made / will make payment through PayPal