Christian Home Educators of Northeast Mississippi

Returning Members

Returning Members

Returning Membership for CHENM

Father's Name *
Father's Name
Mother's Name
Mother's Name
Address
Address
Contact Phone Number
Contact Phone Number
Student Section
Child 1
Child 1
Child 1 Birthdate
Child 1 Birthdate
What grade will Child 1 enter for the 2018-2019 school year?
Child 2
Child 2
Child 2 Birthdate
Child 2 Birthdate
What grade will Child 2 enter for the 2018-2019 school year?
Child 3
Child 3
Child 3 Birthdate
Child 3 Birthdate
What grade will Child 3 enter for the 2018-2019 school year
Child 4
Child 4
Child 4 Birthdate
Child 4 Birthdate
What grade will Child 4 enter for the 2018-2019 school year
Child 5
Child 5
Child 5 Birthdate
Child 5 Birthdate
What grade will Child 5 enter for the 2018-2019 school year?
Child 6
Child 6
Child 6 Birthdate
Child 6 Birthdate
What grade will Child 6 enter for the 2018-2019 school year?
Child 7
Child 7
Child 7 Birthdate
Child 7 Birthdate
What grade will Child 7 enter for the 2018-2019 school year?
Child 8
Child 8
Child 8 Birthdate
Child 8 Birthdate
What grade will Child 8 enter for the 2018-2019 school year?
Child 9
Child 9
Child 9 Birthdate
Child 9 Birthdate
What grade will Child 9 enter for the 2018-2019 school year?
Dues
Upon submission of this form, you will be given the opportunity to pay your dues online. If you are not automatically forwarded, you may go to https://chenm.org/dues