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Southwest Georgia Homeschool Association
2024-2025 Membership Form
Statement of Agreement
By checking the box below, I acknowledge that I have read and agree to abide by the statements above.
Please indicate if you are a new or a returning member.
Please complete the following:
PARENT(S) NAME (First and Last Name):
STREET ADDRESS:
CITY, STATE, ZIP CODE:
PHONE #:
Cell #(s):
Email address(es):
Occupations:
CHILD 1: DATE OF BIRTH:
Child 1's GRADE level:
CHILD'S NAME(1)
CHILD'S NAME (2):
CHILD 2: DATE OF BIRTH:
Child 2's GRADE level:
CHILD'S NAME(3):
CHILD 3: DATE OF BIRTH:
Child 3's GRADE level:
CHILD'S NAME(4):
CHILD 4: DATE OF BIRTH:
Child 4's GRADE level:
CHILD'S NAME(5):
CHILD 5: DATE OF BIRTH:
Child 5's GRADE level:
How long have you been homeschooling?
Please select ALL that apply for your family this year:
Curriculum used:
If you attend church, please indicate where:
Membership Dues for 2024-2025 School Year
SWGHA Membership fee is $100. There is an EARLY BIRD RATE of $85 if your registration forms and payments are completed and received before or on August 9, 2024. A $15 discount will be applied to your registration.
You will have access to:
PLEASE MAKE CHECKS PAYABLE TO SWGHA OR USE OUR SAFE, SECURE, AND SIMPLE PAYPAL OPTION FOR A QUICKER OPTION.
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SWGHA WAIVER AND CODE OF CONDUCT
The undersigned hereby acknowledge that the activities and/or programs in which they, or their minor children, may be involved at Move Christian Church, as arranged by the Southwest Georgia Homeschool Association (SWGHA), have inherent risks of accident and/or injury, which risks the undersigned expressly assumes.
While Move Christian Church and SWGHA shall take reasonable measures to ensure a safe environment, the undersigned hereby voluntarily waives and relinquishes any and all rights, claims, or causes of action which might otherwise be brought against Move Christian Church or SWGHA and its officers for any accident and/or injury which might occur to the undersigned, or their minor children.
The undersigned further acknowledges that many of the activities and/or programs at Move Christian Church, as arranged by the SWGHA, require that the participants be in good health. By execution of this document, the undersigned hereby affirms that they, and their minor children, are in good health, or have consulted with their physicians, who have advised that they, or their minor children, are in suitable health to participate in SWGHA programs and/or activities.
All children under the age of 16 must be supervised by a parent. All participants are expected to respect the personal property of SWGHA members and the Move Christian Church property. Inappropriate behavior or conduct is unacceptable. SWGHA board of directors retains the right to determine what constitutes inappropriate behavior or conduct, and retains the right to deny participation in any SWGHA activity or program.
These guidelines shall be enforced at all times, regardless of the location of the SWGHA function (e.g., on field trips, at churches other than Move Christian Church, etc.). The undersigned acknowledges that Move Christian Church and SWGHA are relying on this waiver and release. Parents, please review this with all family members.
PHOTO/VIDEO WAIVER FORM
I am aware that pictures and video of my child may be taken as a participant in SWGHA. I am aware that pictures and/or video may be published in the SWGHA Yearbook, newspapers, magazines and may be posted to the SWGHA website. The pictures/video will be used for the purpose of promoting SWGHA. I have read the foregoing disclaimer and agree to be bound by it. If I change my mind regarding these statements, I will submit a letter in writing requesting that those images be removed.
SOUTHWEST GEORGIA HOMESCHOOL ASSOCIATION (SWGHA) PARTICIPATION WAIVER
We, the undersigned, understand that while participating in any way, whether at Move Christian Church or at any other location hosting a SWGHA sponsored event, that the parent is responsible for their child/children and their actions. We understand that SWGHA, its instructors, its board members, and/or volunteers are NOT responsible for the child or any damage or injury that occurs to the child or by the child, and further release the above from any and all liability. We further understand that there is inherent risk for any sport or physical activity that may be included as part of a class or event, and that any injury to a student/child during any SWGHA activity is the parent’s responsibility. We understand that the child is participating at his/her own risk, and acknowledge full responsibility for him/her.
I hold harmless Move Christian Church and its representatives and members, understanding that they are not responsible for the activities of SWGHA and its representatives.
By signing electronically (by typing my firstlastname/) I acknowledge that I have read and agree to abide by the SWGHA Waiver and Code of Conduct.
Southwest Georgia Homeschool Association
