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Apply for Membership

* indicates a required answer.

1. *

First Name

2. *

Last Name

3. *

Spouse's Name

4. *

Primary Phone Number

5.

Secondary Phone Number

6. *

Email

7. *

Address

8. *

Children's Names & Ages

9. *

Church Affiliation

10. 

Additional Thought or Questions

11. *

Share with us a little bit about your testimony. What does your relationship with Christ look like?

12. *

Share with us about your homeschooling journey. What led you to homeschooling? Why kind of support do you have or what groups are you a part of? Why are you choosing home education over another choice? 

13. *

Do you have a local church? Where? How are you involved in life with your church?

14. *

How did you hear about Round Rock home?

15. *

Share with us a little bit about your family dynamics. Who are you? What are a few strengths of your children? Do you have any challenges or concerns?

16.*

I am homeschooling at least one child and/or intend to homeschool my preschool children.

 (1 required)
YES
17.*

I have read and agree with the Statement of Faith 

 (1 required)
Yes
18.*

I have read and my family and I will abide by the Code of Conduct

 (1 required)
YES
19.*

I have read and agree to the Release of Liability

 (1 required)
YES
20.*

I have read and agree with the Membership Responsibilities

 (1 required)
Yes