membership application (please complete)

Parent Name (1) *
Parent Name (1)
Parent Name (2)
Parent Name (2)
Home Address *
Home Address
Phone *
Phone
Please check this box if you wish to direct $4.00 of your membership fee to participate in a chapter membership with Ontario Home Educators' Connection (OCHEC). For more info about OCHEC visit www.ochec.org *
Do you need a mentor? *
Payment Options *
For your convenience payments can either be made through e-transfer(Preferred), Cash or Cheque
Terms & Conditions Aknowledgement *
By clicking below I agree to the terms and conditions as outlined in the member agreement below.