New Member Sign-Up

Member Information

* First Name

* Last Name

Spouse's Name:

* Address 1

* City

* State

* Postal Code

* Email Address:

* Phone

* Contact me via email with club events and announcements.

Yes

Children's Names

First Name

Last Name

Birth Date

Grade

First Name

Last Name

Birth Date

Grade

First Name

Last Name

Birth Date

Grade

First Name

Last Name

Birth Date

Grade

First Name

Last Name

Birth Date

Grade

First Name

Last Name

Birth Date

Grade

First Name

Last Name

Birth Date

Grade

$20 Registration Fee

* Method of Payment:

I am sending a check (SECHE PO Box 642 Brandon, SD 57005-0642)

Please use credit card info below

Name on Credit Card

Credit Card

Card Number

Expiration

3-4 Digit Security Code (if applicable, located on back of card.)

By becoming a member of this organization I agree to accept the leadership of the Board of Directors. I acknowledge that I am home schooling or am supporting those who do home school. I understand the activities of this organization will be conducted in a manner honoring to God. I understand that each activity will have a time of prayer to God, the Father of our Lord Jesus Christ. I understand the conduct of my children and myself is expected to be Christ honoring and encouraging to those who attend.

I Agree

* Indicates Response Required