Registration

Membership / Guest Registration Form

PARENT Information

* Indicates required field

PARENT 1 / Primary Contact *

First

Last

PARENT 2 / Secondary Contact *

First

Last

Parent 1 / Primary Email *

Parent 2 / Secondary Email *

Parent 1 / Primary Phone *

Parent 2 or Secondary Phone *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Share Information in Directory *

Neighborhood *

Church or Religious Affiliation *

TEEN #1 Information

Name of Teen #1 *

First

Last

Email of Teen #1 *

Phone Number of Teen #1 *

Nickname of Teen #1 (only if is to be used as a preferred name) *

Birthday of Teen #1 *

Age of Teen #1 *

Gender of Teen #1 *

Grade or Grade Equivalent of Teen #1 *

TEEN #2 Information

Name of Teen #2 *

First

Last

Email of Teen #2 *

Phone Number of Teen #2 *

Grade or Grade Equivalent of Teen #2 *

Nickname of Teen #2 (only if preferred) *

Birthday of Teen #2 *

Age of Teen #2 *

Gender of Teen #2 *

TEEN #3 Information

Name of Teen #3 *

First

Last

Email of Teen #3 *

Phone Number of Teen #3 *

Nickname of Teen #3 (only if preferred) *

Birthday of Teen #3 *

Age of Teen #3 *

Gender of Teen #3 *

Grade or Grade Equivalent of Teen #3 *

Submit

Pay dues: $20 per teen by clicking the PayPal link below.

To finalize your membership the following forms need to be completed and turned in for each registered member. Go to this link or visit our Forms page & print them out. http://www.whheteengroup.com/forms.html .

Medical Release: completed & signed (No need for notarization)
Teen Code of Conduct/ Policies: read, initialed, & signed by BOTH the teen and parent

GUESTS: Invited homeschooled teen guests of a WHHE member will need to fill out the above form, but do not pay dues. Guests should also go to the Code of Conduct page on this website to print & sign that as well. This can be scanned and emailed to the current adult leader indicated on the invitation.