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Additional information

Allergies (include reaction)

Medical Concerns

How did you hear about Caswell County Homeschoolers, Inc.?

Facebook

Flyer

Newspaper

Word of Mouth

Would you like to learn about our committees?

CCH Google Calendar Access

Yes

Weekly updates on activities?

Yes

Emergency Contact #1

Emergency Contact #1 Full Name

Emergency Contact #1 Phone Number

Emergency Contact #1 Relationship

Emergency Contact #2

Emergency Contact #2 Full Name

Emergency Contact #2 Phone Number

Emergency Contact #2 Relationship

Criteria for CCH membership.

I am 18 years of age or older

I do not meet this criteria

I meet this criteria

Currently living in Caswell County or a neighboring county

I do not meet this criteria

I meet this criteria

I am in compliance with NC or VA homeschool law

I do not meet this criteria

I meet this criteria

I attend at least one in-person CCH event per year

I do not meet this criteria

I meet this criteria

Residency

If you are a Caswell County resident, what township do you live in?

Anderson

Dan River (pt.)

Hightowers

Leasburg

Locust Hill

Milton

Pelham

Stoney Creek

Yanceyville

Acknowledgements, Agreements and Releases

I understand the CCH Mission, Vision, and Core Values.

Yes

I agree to the CCH Bylaws and Code of Conduct

Yes

I agree to the CCH Liability Waiver

Yes

I agree to the Photo Release.

Yes