Desert Hills Christian Homeschoolers
Family’s Last Name _____________________________________________________________________
Husband/Father’s First Name ____________________ Wife/Mother’s First Name ____________________
Street Address _________________________________________________________________________
City _________________________________________ State _________________ ZIP _______________
If you use a private mailbox, please tell us the area in which you live: _______________________________
Phone _________________________ E-Mail _________________________________________________
Child's Name Birth Date
________________ _________
________________ _________
________________ _________
Child's Name Birth Date
________________ _________
________________ _________
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Child's Name Birth Date ________________ _________
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________________ _________
May we publish all of the above information in our members-only directory? YES NO
Church Affiliation ________________________ How did you hear about us? ________________________
How many years have you been homeschooling? Not yet Less than 1 year 1-4 5-9 10-14 15+
Would you be willing to volunteer? YES__ NO__ MAYBE__ (Please circle areas of interest) Leader/Co-Leader Secretary Treasurer Hospitality Area Representative Membership Directory Mentor Mom Event Coordinator Fundraising Photographer Reporter/Publicity Newsletter Editor Library Liaison Yahoo Moderator Webmaster Other
Please list any special talents, professional training, skills, hobbies, etc. that may be useful to the group:
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Waiver of Liability
I hereby consent to participation of my child(ren) in Desert Hills Christian Homeschoolers activities and agree to assume all risks involved. I will be present and supervise my child(ren) at all DHCH recreational and educational activities that my child(ren) participate(s) in unless I have authorized another parent to act on my behalf. I understand that DHCH is not responsible for supervising children or guests.
I am aware that DHCH does not provide insurance relative to accidents or injuries sustained during DHCH activities, and that I am solely responsible for the health/medical care of my child(ren) in the result of any such injury or accident. I agree to indemnify and hold harmless, the Desert Hills Christian Homeschoolers group and its officers, for any injuries sustained while participating in DHCH-sponsored activities.
By signing this form our family is stating that we have read and understand the above DHCH Waiver of Liability and will abide by its requirements.
Parent/Guardian Signature: ______________________________________________________ Date_______________
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Membership is FREE - No Dues!
Includes a 75-page Homeschool Resource booklet.
Print and mail this application to the address below; or scan and e-mail a copy to dhch@
(A download link for the Members Resource booklet is e-mailed upon receipt of your registration.)
Rich & Teri Olsen, 807 E. Wild Field Drive, New River AZ 85087-7965
Questions? Log on to , e-mail dhch@ or call 623-465-7561 (please leave a message)
If you are joining DHCH, please take a few minutes to complete this survey. All of the questions are optional, but any answers you provide will help us understand your needs so we may better serve you. (Rest assured, your information is safe with us; it will not be shared, sold, or used for any other purpose.)
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1. Why did you decide to homeschool? (check one or more) __academic reasons __religious convictions __social/moral issues __safety concerns __health problems __special needs/challenges __flexibility of family schedules __ dissatisfied with public school __ less expensive than private school __other reasons
2. How did you first learn about DHCH? __I don’t remember __Local newspaper __AFHE convention
__ AFHE website __Other website __Web keyword search __Friend/Neighbor __Other (please tell us)
3. What are your reasons for joining? __ Fellowship/Friendship __ Group Field Trips __Advice/Mentoring __Information/resources __Classes/Workshops __Christian Statement of Faith __Volunteer Opportunities __Social contacts/networking __Encouragement/Support __To give my children special “school” memories
4. Are you a member of Arizona Families for Home Education (AFHE)? YES NO
5. Are you a member of Home School Legal Defense Association (HSLDA)? YES NO
6. Are you a member of any other homeschool support groups? (please list)
7. Are you interested in combined activities with other groups? (please circle) YES NO
If yes, which one(s)?
8. In what format would you prefer to receive announcements, event notices, and other info? (please circle)
E-mail Snail Mail Phone Website Other:
9. Please check any programs/activities/events that you would be interested in:
_Beginning Homeschooling
_Toddlers/Preschoolers
_Learning Disorders/ADHD
_Gifted Children
_Parenting/Family Issues
_High School/College/Career
_Teen Group
_Co-op Courses
_Classes/Workshops
_Standardized Testing
_Recordkeeping/Transcripts
_Home Organizing
_Bible Study/Christian Living
_Creation Science
_Science Fair
_Spelling Bee
_Geography Bee
_History Fair
_Math Competitions
_P.E./Sports
_Hiking/Camping
_Fall Festival
_Movie Day Out
_Valentine’s Day Party
_Field Trips
_Mom’s Night Out
_Dads Get-Together
_Promotion Ceremony
_Guest Speakers/Seminars
_Field Day/End of Year Party
_Used Curriculum Sale
_Homeschool Information Night
_Elementary Arithmetic
_Pre-Algebra/Algebra
_Advanced Mathematics
_Computer Skills
_High Tech Kids/Mad Science
_Government/Economics
_Arizona History/Geography
_American History
_World History
_Geography
_Astronomy/Telescopes
_Science Experiments
_Earth Science/Geology
_Biology/Botany
_Chemistry/Physics
_Health/Safety/Nutrition
_Physical Fitness/Sports
_Classical Education
_Literature/Great Books
_Creative Writing
_Grammar/Composition
_Phonics/Reading Readiness
_Arts & Crafts
_Art History/Appreciation
_Music History/Appreciation
_Vocal/Instrumental Lessons
_Foreign Language (_________)
_Sign Language
_Drama/Performing Arts
_Speech & Debate
_Other (___________________)
10. What is your greatest area of need in regard to homeschooling? (Please explain)
Please write any additional comments and suggestions in the space below. Thank you!
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