Lighthouse Christian Homeschool Association (LCHA)
Membership Form Application for NEW Members
2011-2012 School Year

Current members go to our website www.lighthousehsa.com, LOGIN, and then choose RENEW.

 

Membership Dues for 2011-2012 is $40 until Oct. 4th, 2011
(Add $15 Late Fee after Oct. 4th, 2011 except for
NEW homeschoolers OR families just moving to the area)
Please note that ALL memberships expire on June 30th, 2012

You will still need to mail in your check to Amy Yinger, 6341 Willowdell Drive, Wake Forest , NC 27587.
Any questions? Contact Pam Gorton at 554-8190 or via email at
*required fields

The purpose of Lighthouse is to bring Christian homeschooling families together for support and encouragement. You must be currently homeschooling a child ( PreK included ) OR have graduated your children from homeschooling to be a member of Lighthouse. Please, no vendors.

This information will be compiled and presented to members in the online Lighthouse Directory.
Lighthouse is an incorporated 501(c)3 non-profit organization.

Parents or Guardians:

*First Name:
*Last Name:
Spouse Name:
Spouse Membercard?
*Address:
Apt/Suite/POBox:
(optional)
*City:
*State:
*Zip:
*Main Phone:
Alternate Phone:
*Email Address:

Check here if no email address.

Please create a password (6-10 characters) for the members only side of our website.

*Password:
*Retype Password:

Tell Us About Yourself:

Is this your first year homeschooling?
Is this your first year with
Lighthouse Christian Homeschool Association?
How many years have you been homeschooling?
If you've homeschooled longer than 3 yrs, would you consider being a mentor for a new homeschooling family?
Do you have a senior who will be participating in the 2012 Lighthouse Graduation Ceremony?
**You must be a member of Lighthouse for the student's 11th and 12th grade years in order to participate in Graduation.
Have you already graduated one or more students from your homeschool?
Are you currently a member of NCHE? 
Lighthouse encourages our members to support the work of NCHE to promote, support, and protect homeschooling in the state of North Carolina.
What Curriculum do you use?
Do you have any other comments you wish to share?
Which church do you attend?

Other:

Please Volunteer

Please check one or more activity that you would be willing to coordinate or help plan for Lighthouse during the coming year.
(1st year homeschoolers excluded )

Check here if 1st year homeschooler. You do not need to volunteer.
Check here if you are a "Lighthouse Alumnus" and have no current homeschooled children. You do not need to volunteer nor pay membership.

Parent Support:
Mom’s Christmas Tea - Planning Committee:
Library Committee
Mom’s Christmas Tea - Table Hostess:
Mentor - Make Phone Calls
Give Devotions at Monthly Meeting
Mentor - Lead 8wk small group
Monthly Meeting Hospitality -
Greeters / Refreshments
Iowa Testing: Proctor
(4 yr. degree required)
Used Curriculum Sale /
Resource Fair Committee
Iowa Testing: Coordinator
Campbell’s Soup Labels Program Coordinator
Box Tops for Education Program Coordinator
Other:


Academic Enrichment & Extra Curricular Activities
Plan a Field Trip
Yearbook Committee
Reading Incentive program (Book It)
coordinate monthly pizza party / outing
Spelling Bee Committee
Geography Bee Committee
Thanksgiving Feast Committee
Christmas Craft Fair Committee
Fine Arts Night Committee
International Fair Committee
Family Square Dance
Science Fair Committee
Lead a small Co-op or Club
Monthly Fun Days Committee
Bowling, Skating, Adventure Landing, etc
High School Powder Puff
Football Committee
Family Carnival Committee
Lighthouse Eagles
Volleyball or Basketball Coach
Field Day Committee
Lighthouse Eagles
Sports Committee
Year-End Celebration Committee
Park Days Committee
Family Camping Weekend Committee
Other:


Community Outreach

Publicity Coordinator
(flyers & newspaper announcements)
Wake Forest Christmas Parade Committee
Operation Christmas Child Committee
President’s Volunteer
Service Award program Coordinator
Nursing Home Visits Committee
Teen Service Project
Care Packages for Soldiers Committee
Other:

Tell us About Your Children

Fill out the information for each child below.

First Name
Last Name
(if different from parent)
Birth Date
Grade/Age
Gender
Email (for age 13 & up)
Home
Schooled?
Interests

Lighthouse Statement of Faith


  1. We believe that there is one God eternally existing in three persons: the Father, the Son, and the Holy Spirit.
  2. We believe that the Bible is God's written revelation to man and that it is verbally inspired, authoritative, and without error in the original manuscripts.
  3. We believe in the deity of Jesus Christ, His virgin birth, sinless life, miracles, death on the cross to provide for our redemption, bodily resurrection and ascension into heaven, present ministry of intercession for us, and His return to earth in power and glory.
  4. We believe in the personality and the deity of the Holy Spirit that He performs the miracle of new birth in an unbeliever and indwells believers, enabling them to live a Godly life.
  5. We believe that creation, as described in Genesis, was an act of God, and not the result of evolution.
  6. We believe that man was created in the image of God, but because of sin, was alienated from God. That alienation can be removed only by accepting through faith alone God's gift of salvation, which was made possible by Christ's death.

Check this box if you agree with the Lighthouse Statement of Faith.
This is required to join Lighthouse Christian Homeschool Association.

Liability

I will not hold Lighthouse Christian Homeschool Association (LCHA) liable for any incident or accident that may occur to me the parent(s)/guardian or to my child(ren) during any co­op, activity, event or gathering planned by LCHA, Inc.   I also certify that this information is accurate to the best of my knowledge.

LCHA has my permission to use any photographs taken of my family/children at Lighthouse events on the LCHA website, LCHA groupsite, or on any printed LCHA publication.  To help protect your privacy, LCHA will not post any names of children/adults next to published photographs without permission of a parent or guardian.

Check this box if you agree with the Liability Statements above.
This is required to join Lighthouse Christian Homeschool Association.

 

 

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