LIGHT FELLOWSHIP MEMBERSHIP FORM 2011-2012
DIRECTORY INFORMATION:
Last Name _______________________________________ Dad__________________ Mom _________________
Phone ___________________________ Cell ______________________Email____________________________
Address _________________________________________________________________
City/State ___________________________________________ Zip __________________
Mailing Address (if different): ____________________________________________________________________
Children’s Names/Birth Dates:
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1. |
5. |
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2. |
6. |
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3. |
7. |
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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 Renewal Date _____________
Please Note: You will be on email contact for prayer/info unless you do not have internet access or check here ___
We are in agreement with LIGHT Fellowships’ Statement of Purpose, Statement of Faith, and Statement of Doctrinal Distinctives.
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(Signature of both parents)PLEASE CHECK OFF JOB SELECTIONS BELOW: # CHOICES 1, 2 & 3 according to preference
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__ Business Meeting (Sept/Jan /May): Coordinator__ Helper__ __ Bowling: Coordinator__ Helper__ __ Camping: Coordinator __ Helper __ __ Cradle Roll: Coordinator__ __ Directory: Typing__ __ Field Trips: Coordinator__ Helper__ __ Gingerbread Houses: Coordinator__ Helper__ __ God’s World Papers: Coordinator__ __ Graduation Committee: ____ __ Ice Skating: Coordinator __ Helper __
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__ 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 $15.00 membership fee for those responding with job selections
OR $40.00 membership fee for those not able to sign up to assist at this time.
TO: Sherri Berge
Light Fellowship Secretary
230 Kenyon Ave
Millville, NJ 08332
Please make checks payable to: LIGHT Fellowship