Application

Application for Membership

Name:________________________________________________________________________

Address:______________________________________________________________________

_____________________________________________________________________________

Phone:___________________________ Cell Phone:___________________________________

Email:________________________________________________________________________

Names and Ages of Children:

1._________________________________________________________

2._________________________________________________________

3._________________________________________________________

4._________________________________________________________

Please list additional children on the back.

Are you new to the area?________

Are you new to homeschooling?_________

How did you hear about WRC?_____________________________________________________

___________________________________________________________

For Insurance purposes, have you ever been convicted of a felony?        __________________________________________________________________

Why does your family want to be a part of WRC?  Please write your answer on a separate sheet of paper.

References:

Your references should be a current member of WRC, a homeschooling family within our local community, a member of a home school group that you previously belonged to, and/or your family’s pastor.

                    Name                                        phone number                            relationship

1.____________________________________________________________________________

2.____________________________________________________________________________

Please send your completed applications to WRC board at WRCCoopInfo@gmail.com.