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Family Membership Application
Membership Year: August 2023-July 2024
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* Indicates required question
** If you prefer to complete this application on paper, you may
download the pdf version
and return it via mail or e-mail. **
Parents' Names
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
E-mail
*
Your answer
Phone
*
Your answer
Preferred method of contact
*
E-mail
Phone Call
Text message
Other:
Required
Names and ages of children
*
Your answer
Please briefly share why you desire to join our library.
*
Your answer
Please provide three references - preferably a church leader or homeschool family we might know - who can vouch for your integrity to return borrowed items. (Please provide name, phone number, and e-mail address.)
*
Your answer
Church affiliation
Your answer
Is your family in
full-time
Christian ministry?
Yes
No
Clear selection
How long have you homeschooled your children?
Your answer
Do you need help to get started homeschooling?
Yes
No
Clear selection
What homeschool method or curriculum do you plan to use this year?
*
Your answer
Are you comfortable with the task of monitoring and controlling your children's behavior while at the library and of providing earnest care for the books since many are older, out-of-print gems, and are both fragile and irreplaceable?
*
Yes
No
Please indicate membership level desired.
*
Five-In-A-Row Membership: $60 (equates to $5/mo)
Basic Membership: $120 (equates to $10/mo)
Premium Membership: $150 (equates to $12.50/mo)
DO NOT SEND MONEY NOW. Membership dues are paid annually and may be paid via cash, check, or Paypal (no-fee payment only). Dues are not refundable for any reason. For a description of what is included in each membership level, please
visit our website
.
If you chose Five In A Row (FIAR) or Premium membership, please indicate which volume(s) of FIAR you will be using this year.
Please note, we do not yet have many of the titles for the new volume More Before Five in a Row.
Before FIAR
FIAR Volume 1
FIAR Volume 2
FIAR Volume 3
FIAR Volume 4
FIAR Volume 5
FIAR Volume 6
FIAR Volume 7
FIAR Volume 8
Other:
Do you have any special book needs this year, or are there other ways we can serve you?
*
Your answer
By typing your name below, you are stating that you have read and agree to abide by our membership policies as described in our
Membership Agreement
.
You will be asked to sign this agreement on paper during your first library visit and before borrowing any library items.
*
Your answer
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