2011 – 2012 Registration Roane County Home Education Association (All information given in this application will be kept confidential) Family Information
Student Information
Other Information What function will you or your family be contributing to the group? (Teaching, Cleaning, Planning, etc.)
Umbrella School/Home School Registration: __________________________________________ Are you a member of the Smoky Mountain HEA? Yes No Will you be participating in Enrichment Classes? Yes No Can we use your contact information in the Yes No RCHEA Member Directory? RCHEA Registration $10 Paid: Yes No Check #: _______ Date: __________ Mail Completed Form with Payment to: R.C.H.E.A. c/o Becky Kollett 401 Morton Road Harriman, TN. 37748 |
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