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APPLY FOR MEMBERSHIP
APPLY FOR MEMBERSHIP
Step
1
of
4
: Enter Family Contact Information
Begin the membership application by providing your family's home address, phone number and email. Please also indicate the number of parents and children in your family along with the number of years you have been homeschooling.
All fields marked with a * are required
. When you have completed the form, you may select the
'Continue'
button to proceed.
*Street Address 1:
Address 2:
*City:
State:
PA
*Zip Code:
*Phone 1:
-
-
Phone2
-
-
*Email:
Don't Include Information in Directory
*Number of Parents:
1
2
*Number of Homeschooled Children:
0
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2
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5
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8
9
10
*Number of Years as Homeschooling Family:
0
1
2
3
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Copyright 2003 NPHEP J.Hosoi, J.Kabir, S.Martocci, S.Rathod, N.Velez
