Lighthouse Christian Homeschool Association (LCHA)
Membership Form Application for NEW Members
2017-2018 School Year

Current members go to our website www.lighthousehsa.com, LOGIN, and then choose RENEW.

Membership Dues for 2017-2018 is $55 until October 03, 2017
(Add $15 Late Fee after October 03, 2017
EXCEPT for NEW homeschoolers OR families just moving to the area)
Please note that ALL memberships expire on June 30th, 2018.

Once your application is completed: Please pay the membership fee by credit card. If you cannot, you can make other arrangements with our treasurer at treasurer@lighthousehsa.com.

Purchase Your Yearbooks Now! You can purchase your yearbook for $50 (plus $5 if after the deadline on October 03, 2017) for this school year when you are paying for your membership. This will be available on the confirmation/payment page.

The purpose of Lighthouse is to bring Christian homeschooling families together for support and encouragement. You must be currently homeschooling a child ( PreK included ) OR have graduated your children from homeschooling to be a member of Lighthouse. Please, no vendors. This information will be compiled and presented to members in the online Lighthouse Directory. Lighthouse is an incorporated 501(c)3 non-profit organization.


Parents or Guardians (*required fields):
*First Name:
*Last Name:
*Address:
Apt/Suite/POBox:
(optional)
*City:
*State:
*Zip:
*Your Phone:
Accept Texts?
*Email Address:

*Are you Married?
*required fields below if married
*Spouse First Name:
Spouse Last Name:
(if different)
*Spouse Phone:
Accept Texts?
*Spouse Email Address:

 

Please create a password (8-15 characters) for the members only side of our website.

*Password:
*Retype Password:

Tell Us About Yourself:

Is this your first year homeschooling?
Is this your first year with
Lighthouse Christian Homeschool Association?
How many years have you been homeschooling?
If you've homeschooled longer than 3 yrs, would you consider being a mentor for a new homeschooling family?
Do you have a senior who will be participating in this year's Lighthouse Graduation Ceremony?
**You must be a member of Lighthouse for the student's entire 11th and 12th grade years in order to participate in Graduation.
Have you already graduated one or more students from your homeschool?
Are you currently a member of NCHE? 
Lighthouse encourages our members to support the work of NCHE to promote, support, and protect homeschooling in the state of North Carolina.
Are you currently a member of HSLDA? 
Join/Renew HSLDA & get the group discount using Lighthouse CHA #210177.
Is your homeschool registered with NC Dept of Non-Public Education?
NC Law requires homeschools be registered for students at least 7yrs but not yet 16yrs.
What Curriculum do you use?
Co-Teacher(s) - Others authorized to take my Homeschool children to/from Lighthouse events, e.g. grandparents.
Do you have any other comments you wish to share?
Which church do you attend?

Other:


Please Volunteer

Please check at least 2 of the following areas in which you would be willing to serve during the coming year, if needed.
(1st year homeschoolers excluded )

Check here if 1st year homeschooler. You do not need to volunteer.
Check here if you are a "Lighthouse Alumnus" and have no current homeschooled children. You do not need to volunteer nor pay membership.

Parent Support:
Mom’s Christmas Tea - Planning Committee:
Library Committee
Mom’s Christmas Tea - Table Hostess:
Mentor - Make Phone Calls
Give Devotions at Monthly Meeting
Mentor - Lead 8wk small group
Monthly Meeting Hospitality -
Greeters / Refreshments
Iowa Testing: Proctor
(4 yr. degree required)
Used Curriculum Sale /
Resource Fair Committee
Iowa Testing: Coordinator
Campbell’s Soup Labels Program Coordinator
Box Tops for Education Program Coordinator
Other:


Academic Enrichment & Extra Curricular Activities
Middle School Social Committee
High School Social Committee
Plan a Field Trip
Yearbook Committee
Reading Incentive program (Book It)
coordinate monthly pizza party / outing
Spelling Bee Committee
Geography Bee Committee
Art Show Committee
Christmas Craft Fair Committee
Family Square Dance
International Fair Committee
Lead a small Co-op or Club
Science Fair Committee
Bible Bee Committee
Chivalry Ball
Drama Productions
Family Camping Weekend Committee
Lego Club
Monthly Fun Days Committee
Bowling, Skating, Adventure Landing, etc
Lighthouse Eagles Basketball Coach
Field Day Committee
Lighthouse Eagles Sports Committee
Promotion Night Committee
PEP Days Committee
Other:


Community Outreach

Publicity Coordinator
(flyers & newspaper announcements)
Wake Forest Christmas Parade Committee
Operation Christmas Child Committee
President’s Volunteer
Service Award program Coordinator
Nursing Home Visits Committee
Other:

Tell us About Your Children

Fill out the information for each child below. *required field.
Note: For children who are at least 7yrs but not yet 16yrs, these fields are required (**)

First Name
Last Name
(if different from parent)
*Birth Date
**Grade
Gender
Email (for age 13 & up)
**School Type?
**School Name
**School County
Child Interests

Lighthouse Statement of Faith


  1. We believe that there is one God eternally existing in three persons: the Father, the Son, and the Holy Spirit.
  2. We believe that the Bible is God's written revelation to man and that it is verbally inspired, authoritative, and without error in the original manuscripts.
  3. We believe in the deity of Jesus Christ, His virgin birth, sinless life, miracles, death on the cross to provide for our redemption, bodily resurrection and ascension into heaven, present ministry of intercession for us, and His return to earth in power and glory.
  4. We believe in the personality and the deity of the Holy Spirit that He performs the miracle of new birth in an unbeliever and indwells believers, enabling them to live a Godly life.
  5. We believe that creation, as described in Genesis, was an act of God, and not the result of evolution.
  6. We believe that man was created in the image of God, but because of sin, was alienated from God. That alienation can be removed only by accepting through faith alone God's gift of salvation, which was made possible by Christ's death.

Check this box if you have read and agree with the Lighthouse Statement of Faith. This is required to join Lighthouse Christian Homeschool Association.

Liability

I will not hold Lighthouse Christian Homeschool Association (LCHA) liable for any incident or accident that may occur to me the parent(s)/guardian or to my child(ren) during any co­op, activity, event or gathering planned by LCHA, Inc.   I also certify that this information is accurate to the best of my knowledge.

Check this box if you have read and agree with the Liability Statements above. This is required to join Lighthouse Christian Homeschool Association.

Photo Liability

We authorize Lighthouse Christian Homeschool Association(LCHA), or anyone authorized by LCHA, to use and reproduce all audio and video tapes and photographs which LCHA takes(or have been submitted by a member to LCHA) of our child(ren) or any family member produced for support group literature, advertisements, publications and promotional purposes without further compensations. All copies, masters, negatives, pictures and proofs shall constitute LCHA property.

Check this box if you have read and agree with the Photo Liability Statements above. This is required to join Lighthouse Christian Homeschool Association.


Lighthouse HSA Library Policy

We agree to return any Lighthouse CHA library items checked out by us by its due date. If the item has not been returned by the end of this school year, then we agree to pay the full retail price for the Lighthouse HSA library item checked out by us. We agree that any Lighthouse HSA library items will need to be returned or paid for before we can renew our membership in the following year.

Check this box if you have read and agree to abide by the Lighthouse HSA Library policy. This is required to join Lighthouse Christian Homeschool Association.


Participation Requirements

We understand that, except for "Family Events", all activities and events provided through membership are designed for only our children that are registered with our homeschool, and that they are not available for our children that are registered with any other school - whether private or public or online.

Check this box if you agree to abide by the Participation Requirements listed above. This is required to join Lighthouse Christian Homeschool Association.

 

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