Registration – Christian Home Education Canberra

Please Complete the Form to Register

New User RegistrationChoose a Username*
Email*
Confirm Email*
First Name*
Last Name*
Address 1*
Address 2
Suburb*
State*
Postal Code*
Country*
Phone
Mobile*
Child 1 Name*
Child 1 Birthdate*
Child 2 Name
Child 2 Birthdate
Child 3 Name
Child 3 Birthdate
Child 4 Name
Child 4 Birthdate
Child 5 Name
Child 5 Birthdate
Child 6 Name
Child 6 Birthdate
Notes
I read to CHEC’s Conditions of Membership
Yes
No
I agree to CHEC’s Conditions of Membership*
Yes
No
Details in CHEC Members Directory
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Membership Registration Form

Please Complete the Form to Register