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Membership Contract

indicates a required answer

1. *

I affirm that I have read the General, Parent, & Student Responsibilities pages and instructed my children in its contents.

 (1 required)
Yes No
2. *

I agree to abide by the rules and expectations as presently enforced, or as may be amended.

 (1 required)
Yes No
3. *

I understand that if anyone in my family violates the rules, it will jeopardize our participation in the HCH, Inc. cooperative program.

 (1 required)
Yes No
4. *

I agree to be responsible for the behavior of my child(ren).

 (1 required)
Yes No
5. *

I understand that I will be required to fulfill the co-op job(s) that will be assigned to me.

 (1 required)
Yes No
6. *

I agree to be financially responsible for any property that my child(ren) damage(s).

 (1 required)
Yes No
7. *

In the case of an incident that results in physical and/or emotional injury to my child(ren) or myself, I release: Harbor Christian Homeschool, Inc. and its agents, volunteers, and representatives including HCH Advisory Board members, HCH Program registrants, and the host facility from any liability and all claims against them, individually or collectively, for any damages or medical care necessary.

 (1 required)
Yes No
8. *

Parent/Guardian Signature:
9. *

Date: