ECH Member Application

Mother's Name *

First Name Last Name

Father's Name *

First Name Last Name

Cell Phone Number *

Area Code Phone Number

Email Address *

example@example.com

Home Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

1st Child's Name *

First Name Last Name

1st Child's Age *

2nd Child's Name

First Name Last Name

2nd Child's Age

3rd Child's Name

First Name Last Name

3rd Child's Age

4th Child's Name

First Name Last Name

4th Child's Age

If you have more children, please list their names and ages here.

How do you believe people enter the Kingdom of Heaven? *

Tell us in detail, about your testimony of when you accepted Christ. *

What is the Trinity? *

Do you believe in the Trinity? *

What Bible believing church do you attend? *

If you don't attend a church, what religious practices do you follow? *

What is your church's website address? *

Tell us what your interests are in joining ECH. Classes, fellowship, support? Are you new to homeschooling? *

Where did you hear of ECH? *

Evangelical Christian Homeschoolers Group requires each member to sign our Group Guidelines & Statement of Faith forms before a family will be considered for membership.

Please do NOT leave this page before you hit Send to ECH below.

Evangelical Christian Homeschoolers Group

Henderson, NV

www.echgroup.org