LEARNING AT HOME REGISTRATION FORM
Postmarked one week in advance of the workshop date.

Name(s):_________________________________________________________

Address:_________________________________________________________

_________________________________________________________________

Name(s) of your teen(s) who will be attendiing with you (age 13 and older) #____

_______________________________________________________________

Phone number:____________________________________________________

Email address:____________________________________________________

Date of workshop: ________________________________________________

Name of workshop ________________________________________________

Location of workshop:______________________________________________

Single Registration: $43
Married Couple Registration: $53  

Amount enclosed: ___________

Make check payable to Barbara Mesh and mail to:
Fellowship of Christian Homeschoolers
2771 Steeple Court
Palm Harbor FL 34684-9628    

Please remember to bring a 3 ring binder in which to place your Resource Packet.