Eagle's Nest Registration Form

Eagle's Nest

Christian Home Educators Association
Registration Form

All information is strictly confidential and used exclusively for Eagle's Nest purposes. Please fill out contact information completely.
Husband's Name
Wife's Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Preferred Phone Number *
Please enter a valid phone number.
Husband's Cell Number
Please enter a valid phone number.
Wife's Cell Number
Please enter a valid phone number.
Email Address *
Eagle's Nest utilizes Groups.io to communicate with members. Please provide an accurate email address so you can receive the invitation to join the group.

Family Information
We would like to know about your children, whether home educated or not.
Dad's Employment
Dad's line of work
Mom's Employment
Mom's line of work
What are your family's skills, talents, hobbies, interests, experiences? *
What is your family's church affiliation? *
Example: Baptist, Presbyterian, Methodist, Catholic
Name of the church you currently attend? *

Eagle's Nest - Statement of Faith

ENCHEA is a Christ-centered organization, all aspects of which are intended to bring glory to the Lord and honor biblical principles. All ENCHEA applicants will confirm agreement with the Statement of Faith by their signature below.
Husband's Signature

By signing here, I am agreeing to the statements above. For married couples, both signatures are required. Clear
Wife's Signature

By signing here, I am agreeing to all of the statements above. For married couples, both signatures are required. Clear
I am a single parent. Parent's Signature

By signing here, I am agreeing to all of the statements above. Clear

References

Please provide 3 references. Do not include family members as references. An Eagle's Nest board member may contact these references in consideration of your application.
Reference 1
Reference 1 Name

First Name Last Name
Reference 1 Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Reference 1 Phone Number
Please enter a valid phone number.
Reference 1 Email
example@example.com
Reference 2
Reference 2 Name

First Name Last Name
Reference 2 Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Reference 2 Phone Number
Please enter a valid phone number.
Reference 2 Email
example@example.com
Reference 3
Reference 3 Name

First Name Last Name
Reference 3 Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Reference 3 Phone Number
Please enter a valid phone number.
Reference 3 Email
example@example.com

Eagle's Nest - Consent and Agreement
I give permission for photographs taken at Eagle's Nest functions to be used on the Eagle's Nest website and/or submitted to the EN Yearbook. *

YES NO
Husband's Signature

For married couples, both signatures are required. Clear
Wife's Signature

For married couples, both signatures are required. Clear
I am a single parent. Parent's Signature

Clear
Thank you for your interest in Eagle's Nest.

Once your application has been reviewed and accepted, you will receive an email with payment instructions. An Eagle's Nest board member may contact you for additional information.
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Eagle's Nest