Western Nebraska Home Educators Network WNHEN

Membership Request
"Whatsoever you do, do all to the glory of God"
1 Corinthians 10:31

Interested in joining the Western Nebraska Home Educators Network? We would love to have you.

Annual Membership Dues are assessed to cover the costs of operation, maintenance and improvements of the Network. Dues cover a twelve-month period starting June 1 and ending May 31. Dues are $25.00 yearly if paid by June 1. Renewing membership fees received after June 15th will be $35.00. Everyone interested in being a part of the Network shall pay the yearly dues. New membership dues collected after January 1st shall be pro-rated to $20.00 and come due again on June 1.

Members who wish to have the newsletter mailed to them shall pay an extra $12.50 per year to cover the cost of printing and postage. Members who desire a hand delivered hard copy of the newsletter shall pay an extra $7.50 per year to cover printing costs.

Once you are ready to join, simply print off a *Membership Form and send it to the address on the form with the dues, OR fill out our Online Form below and then mail the dues separately.

*Adobe Reader is needed to open files on this site. If you do not have Adobe Reader go to www.adobe.com and get Adobe Reader. This is a free download for your computer.

Need to know more about WNHEN before joining?
If you still have questions please feel free to contact us.

Worried about making a time commitment to our Network?
The amount of time you give to the network is totally up to you and your family. It is true that our members run the Western Nebraska Home Educators Network and without parent participation we would not exist. It is parents, just like yourself, who want to get together with other homeschooling families and share activities that makes WNHEN what it is. What we have found is that the more time you and your family put into our network the more you and your family take away from it. It is our prayer that you will spend enough time with us to meet your family needs.

We look forward to the blessing of knowing you and sharing the blessing of homeschooling our children together. We believe your decision to join WNHEN will be a blessing to you as well. If you have any questions, please contact us.

MEMBERSHIP REQUEST FORM

Parent/Guardian Information

*Mother's First & Last Name:

Mailing Address:

City:		State:		Zip:

*Email:

Home Phone #:		Cell Phone #:

Occupation:

Place of Employment:

Work Phone #:

Father's First & Last Name:

Mailing Address:

City:		State:		Zip:

Email:

Home Phone #:		Cell Phone #:

Occupation:

Place of Employment:

Work Phone #:

Student Information
Please include your childs email address if you would like them to receive emails from WNHEN clubs
like the Outdoor Adventure Club or the Student Council, etc.

	Child's Name	Email	Age	Birth Date	Grade	Gender
1.
2.
3.
4.
5.
6.
7.
8.

Directory

All information listed above will be published in the Homeschool Directory unless otherwise stated:
Yes - Include my family information in the Homeschool Directory.
No - Do not include my family information in the Homeschool Directory.

Network Membership Fees
Network Membership fees cover a 12 month period starting June 1^st and ending May 31^st

New Membership Registration
Paid between June 1^st and December 31^st ($25.00)
Paid between January 1^st and May 31^st ($20.00)

Renewing Membership Registration
Paid by June 1^st ($25.00)
Paid on or after June 15^th ($35.00)

Network Communications
Select One under each category.

Newsletter
Send by e-mail
I'll access it on the Website
Send by mail (add $12.50 to fee)
Deliver at Co-op (add $7.50 to fee)

Member Only Website Area
Setup member only website area access for the following:
Father only | Mother only | Both Father & Mother

We do not have internet, please call us at

Set up Club Member Only access for Children with emails listed above.

Interests
Check all that apply

Cooperative
Assist in Nursery (ages 0-1)
Assist with Toddler Class (ages 2-3)
Assist with Preschool (ages 4-5)
Teach Classes
  Ages 4 to 5 (Preschool)
  Ages 6 to 8 (Lower Elementary)
  Ages 9 to 11 (Upper Elementary)
  Ages 12 to 14 (Junior High)
  Ages 15 to 21 (High School)
  Adult Level Classes
NTP Classroom Supervisor (ages 0-5)
LUE Classroom Supervisor (ages 6-11)
JHS Classroom Supervisor (ages 12-19)
Playschool Supervisor (ages 0-11)
Afternoon Classroom Supervisor
Kitchen Supervisor
Morning Facility Supervisor
Afternoon Facility Supervisor

Network
Librarian
Newsletter Editor
Parent Meeting Secretary
Webmaster

Enroll in HSLDA Discount

Support Group
Bee-a-thons
Explorers Play Day (ages 0-11)
Family Gatherings
Field Trips
Fundraising & T-Shirt
Graduation/Promotion
Homeschool Expo (book sale, recruitment)
Musical
Outdoor Adventure Club
Parental Rights
Parents of Home Schooled High Schoolers
Parties
Science Fair
Visual & Performing Arts Talent Show
Sports & P.E.
Student Council
Yearbook

T-Shirts - $16/ea

Youth		Student		Adult
Qty.	Size	Qty.	Size	Qty.	Size
	Xtra Small
	Small		Small		Small
	Medium		Medium		Medium
	Large		Large		Large
	Xtra Large		Xtra Large		Xtra Large
					2XL

Homeschool Experience
How many years of homeschooling experience do you have?
Beginner (first year)
Amateur (two to five years)
Dedicated (six to nine years)
Professional (ten + years)

Other Organizations
Do you belong to other homeschooling organizations?
HSLDA
Other
Other
Other

Photo Consent
WNHEN takes photographs and video footage for educational and publicity purposes. These images may appear in our printed publications, on our website, online photo album, yearbook, news media and/or facebook. May we use images of your family to promote WNHEN in these publications and on these sites?
Yes
No

Consent and Release of Liability
Submitting this form will be your electronic signature that both the Mother and the Father are agreeing to the following:

We do hereby consent and agree that our family may participate in the activities held by the Western Nebraska Home Educators Network. We agree to assume all personal risks on behalf of our family while participating in activities held by WNHEN. We further agree to release WNHEN and all personnel affiliated with WNHEN for any accident or injury which may occur to our family members while participating in these activities, whether foreseen or unforeseen. We will not hold WNHEN or persons affiliated with WNHEN responsible for any personal injury, death and/or property damage incurred as a result of our family participating in activities held by WNHEN.

*We have read this consent and release form before submitting it and we understand its content.