Membership Applicationpdf
Membership Applicationpdf
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  1. Membership ApplicationDateFather’s First NameMother’s First NameFamily Last NameMailing AddressCityState, ZipPrimary PhoneEmailChurch HomeSecondary PhoneEmergency ContactEmergency PhoneChildren’s registration information –Please complete all sections First NameLast NameBirthdate (mm/dd/yy)GenderGradeMedical AlertsBecoming a Member is a FIVEstep process: STEP1 –Fill out the membership form. Located on the “Printables”tabof our websitewww.firstclassskagitcounty.orgSTEP 2 –Pay *$40Membership fee. Membership feeisdue in September of each school year. If youattend Friday School, class fees are separateand in addition to the membership fee. STEP 3–Fill out the background check/youth worker agreement found at www.tinyurl.com/fsbackgroundcheckSTEP 4 –Attending Friday School? Read, sign & turn in the Parent Agreement Form www.tinyurl.com/fsparentagreementSTEP 5 –If you are coming to Friday School, bring your paperwork to registration. If not, mail forms & payment to the address below:(1) membership form, (2) backgroundcheck form,(3) parent agreement form & (4) payment to:First Class Skagit County, 1500 E College Way, Suite A #303 Mount Vernon, WA 98273Payment: Please make check (*$40) payableto First Class Skagit County____ Payment enclosed–Check #______ Amount $___________ I have already paid for the currentschool year.____ Do NOT include our family in the printed directory.Membership Agreement and Waiver of Release is as follows:I understand, by submitting this First Class Christian Homeschool Co-op(FCSC)membership form that our family is participating in co-op activities AT OUR OWN RISK, and therefore we release the First Class Skagit County Homeschool Coop(FCSC), the FCSC Leadership Team, and Inspire Churchfrom any andall liability. I admit and acknowledge that participation in co-op activities may possibly expose myself and/or my child(ren) to illness from infectious diseases. _____ (Initial here.)I also understand that being a member of First Class ChristianHomeschool Co-op involves personal responsibility, and I will do my best to read the Parent Handbook as well as adhere to the guidelines set forth within. The FCSC Leadership team reserves the right to revoke any membership which they deem necessary.I understand that the FCSC Leadership Team and Inspire Church have access to my membership information as well as my background check/youth worker information._____(Initial here.) I also understand and give permission for First Class Skagit County Homeschool Coop to use pictures/images of my family members or myself in our newsletter,website, and for all promotional materials. I understand that these pictures/images help to tell the story of homeschoolingand I release and holdharmless FCSC, its photographers, agents, licensees, and employees from any and all claims and demands associated with this release, including allclaims for libel. I also waive any claim for damages and any right to compensation that I may have for the foregoing._____ (Initial here.)SignaturePrint NameDateIf you have questions, please emailFirstClassSkagitCo@gmail.comwww.FirstClassSkagitCounty.orgwww.Facebook.com/FirstClassSkagitCountyFirst Class Skagit County, 1500 E. College Way, Suite A #303 Mount Vernon, WA 98273___New ___Returning___Entered into Database___Member#________skagit county
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