SHIELD Logo

SHIELD Membership Application 2016 - 2017

Family Information
First Name Last Name Email Mobile Phone Relationship
Primary Contact * * * *
Additional Contact 1
Additional Contact 2

Contact Information
Street Address 1* Primary Phone*
Street Address 2 Primary Email*
City* Confirm Primary Email*
State* Secondary Email
Zip Code* Church
Please select one*:
* - Required Fields

Student/Child InformationPlease add all children living at home
First Name* Grade*
Last Name* Method of Schooling*
Gender*
Name as it should appear in Yearbook*
  


Action
First Name
Last Name
Grade
School
Option
Option Group



The above information will be included in our SHIELD directory. This list is given only to SHIELD members and we ask that it not be shared. Please indicate your preference below.

SHIELD Directory*



Legal Acknowledgement
I understand that SHIELD is a local homeschool support group and does NOT fulfill the legal requirements for homeschooling in SC. I also understand that SHIELD is for families homeschooling according to SC law (S.C. Code § 59-65-40(A) / § 59-65-45 / § 59-65-47). Virtual Charter Schools do not fall under this homeschool law and are therefore not eligible for SHIELD membership.

Signature      



Previous MonthNext Month
SunMonTueWedThuFriSat