West Wichita Homeschool Ministries » Membership Application

Membership Application

InstructionsThank you for inquiring about membership with WWHM. Once you have completed the following form please enter a verification code and submit. You will receive a message if it has submitted successfully then click the WWHM logo at the top of the page to be returned to the website. In your email you will receive confirmation from WWHM and a copy of your submitted application. A member of the Leadership team will contact you within 5-7 business days. Blessings!
Mother Name: *
Father Name: *
Home Phone: *format (316)xxx-xxxx
Mother cell *format (316)xxx-xxxx
Father cell *format (316)xxx-xxxx
Address *
Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email: *
Mother Occupation: *
Father Occupation: *
Church Home: *
InstructionsPlease list all children who will be in the church building on Mondays. List student name, gender, grade, and date of birth.
Children: *
Do not use images of my child(ren) in print, web, or other forms of publicity.
Member Type: New, Current, or Former *
How did you hear about WWHM?
Please click on the links below to print the signature pages. These must be signed and dated, then returned to the registration coordinator for your permanent file. These are not optional. Complete the verification and click submit