GREATER ROME AREA CHRISTIAN EDUCATORS
Home School Association
2008-2009 Membership Application

Parents: _________________________________________________________________
Address: ________________________________________________________________
 _______________________________________________________________________
Phone: ______-_______-___________     Cell (Admin. Use): _______________________
E-mail: _________________________________________________________________
2^nd E-mail (for courtesy copy): _______________________________________________
Child’s Name                                    Date of Birth               Grade          Hm. Scl./Pub. Scl.
___________________________  ____-___-___  ___________________________________
___________________________  ____-___-___  ___________________________________
___________________________  ____-___-___  ___________________________________
                                     (Continue on a separate sheet of paper and attach to this form.)
Religious Affiliation: ________________________________________________________
Church of Attendance: ______________________________________________________
How long have you home schooled?________________________________________________                 

Has your child ever been expelled or suspended from a public or private school?  No ___Yes___
If yes, please explain? ___________________________________________________________
____ We are first-time G.R.A.C.E. members.   ___ We are renewing G.R.A.C.E. members.
____ We are current members of the Home School Legal Defense Association.
____Though the bi-monthly newsletters are uploaded and posted to the member area of the G.R.A.C.E. website, we would like to receive our newsletters through the mail.

’08 – ’09 Annual Dues:                  $45.00  (Make checks payable to G.R.A.C.E.)
’08 – ’09 Bi-monthly Newsletters (6) through the mail: additional $18.00
(submit both with your membership application)

We understand that G.R.A.C.E. is a Christian organization and the Executive Committee reserves the right to reject or revoke any membership application.  We have read and agree to abide by the G.R.A.C.E. By-Laws and General Rules.

Father’s signature   __________________________________________  Date____/____/____
Mother’s signature    _________________________________________  Date____/____/____

To be considered active members and eligible to participate in G.R.A.C.E. activities, please complete and mail this application and annual dues to:  G.R.A.C.E.
                                                                   P.O. Box 1263
                                                                   Rome, GA 30162-1263

- RESCINDS ALL PREVIOUS APPLICATIONS -

 FOR ACCESS TO THE G.R.A.C.E. WEBSITE MEMBER AREA, PLEASE COMPLETE THE “PASS CODE TO MEMBER AREA” FORM.  MAIL IT TO G.R.A.C.E. WITH YOUR MEMBERSHIP APPLICATION AND DUES.