West Wichita Homeschool Ministries » Yearly Signature Page

Yearly Signature Page

RETURNING WWHM MEMBERS

Please review the policy HERE, then sign below.

NEW FAMILIES review the policy HERE, print the last 3 pages and bring signed copy to WWHM leadership the first day of classes.

Signatures

Sign All Appropriate Fields By signing in the fields below I validate I have read, understand and accept the terms set forth in the WWHM Policy.
(If any question arise, please contact Leadership before signing.)
Date mm/dd/yy *
Parent/Guardian's Signature *
Student(s) Signature {13 yrs or older}
List names if multiple students

Emergency Contact (Parent or family member NOT at co-op on Mondays)

Name *

Contact Number in Case of Emergency *XXX-XXX-XXXX PLEASE INCLUDE DASHES

Student Medical Info
Has ANY medical info changed for any of your children?
If YES, please click on the Student Medical Form found at the bottom of the home page AFTER submitting this Signature Page.YESNO

Verification

Enter Any 2 Digits *
This box is for spam protection - please leave it blank:

Save

Save

Save

Save

Save

Save

Save

Save

Save

Save

Save