Sonoma County Homeschoolers Nonprofit (SCHN) Family Membership Form

Adult #1 First and Last Name *

Adult #2 First and Last Name

Address *

City, State & Zip Code *

Home Phone # *

Cell Phone #

Email Address (adult) *

Child's Name *

Month/Year of Birth *

Child's Name

Month/Year of Birth

Child's Name

Month/Year of Birth

Child's Name

Month/Year of Birth

Child's Name

Month/Year of Birth

Please tell us how you heard about SCHN, or if you are a renewing member. *

Annual membership dues are on a sliding scale from $20-$40. Please contact schnmembership@gmail.com if you have any questions regarding membership fees. Membership dues are recurring every 12 months until cancelled. How much will you be paying? *

IMPORTANT:
1) Your membership will not begin until payment is received.
2) You will not receive any billing reminders to renew membership.
4) It will be up to you to reapply for membership again in one year.
5) When paying through paypal you must cancel your recurring payment through paypal.

Agreement
1. We understand SCHN is an inclusive and diverse group of homeschooling families and tolerance of differences is important.
2. We will strive to speak and act respectfully toward others in SCHN.
3. We will strive to keep interactions positive and support other homeschoolers.
4. We understand that a failure to abide by the above tenets can lead to the revocation of our membership.

Yes

We have read, understand and agree to the above membership agreement. *

SCHN does not distribute membership information to any persons who are not members.

SCHN Liability Waiver

This release and waiver is given in the interest of permitting shared learning, exploring, and networking through SCHN. This release and waiver will enable my fellow homeschoolers and me to feel free to donate abilities, resources, and efforts to help each other without fear of liability. Further, this release frees from all liability any organizations and persons providing a facility or opportunity.

In consideration of my child or ward, or me, being permitted to participate in any way in any activities of Sonoma County Homeschoolers Nonprofit (SCHN) at the residence of any member, or at any and all locations where SCHN activities take place, I do hereby covenant not to sue, and release, waive, discharge, and hold harmless SCHN, its directors, its volunteers, its members, and any property owners from liability.

We understand that our participation in any SCHN activities carries with it certain inherent risks that cannot be eliminated regardless of care taken to avoid injuries. The specific risks vary from one activity to another, but risks range from (1) minor injuries, such as scratches, bruises, and sprains, (2) major injuries such as eye injury, loss of sight, broken bones, joint injuries, and concussions, to (3) catastrophic injuries including paralysis and death. We understand and appreciate these and other risks that are inherent in SCHN activities, which may include, without limitations, workshops, park days, field trips, parties, picnics, hiking, swimming, plays, or recitals and hereby for myself, my child(ren), my heirs, executors, and administrators, waive and release any and all injuries, losses or death suffered by myself or my child(ren) at any SCHN activity. I agree to assume all financial responsibility for medical, legal and other expenses incurred as a result of said SCHN activities, for the care of myself, my partner, or my child(ren).

I hereby assert that my participation and/or the participation of my children or wards is voluntary and that I knowingly assume and accept all risks. I also understand that I may participate in activities that are not sponsored or supported by SCHN, but are private activities of members and that I assume all risks associated with such private activities.

Yes

We have read, understood and agree to the SCHN Liability Waiver. *