header1header2

Print this page, complete the appropriate section and mail with your check to:

Delaware Home Education Association Membership

11 Bristol Knoll Road

Newark,  DE  19711-2122

Associate Membership

Are you joining as an individual family or school? (Circle one)

Is this a Renewal?   Yes      No


Individual or Administrator Name:


Address:


City/State/Zip:


Phone:


Email address:


Do you belong to, or is this, a DE registered school?   Circle one:  Yes      No


If so, what is the school name?


Annual dues amount is $5 per year (Sept. 1-Aug. 30)


 

Regular Membership

Is this a Renewal?  Yes   No


School Name:


Administrator Name:


School Address:


City/State/Zip:


Phone:


Email address:


DE registered school?  Circle one:  YES      NO


If so, what is the school number?


$3 per family, minimum $10.00 per year (Sept. 1-Aug. 30)


Number of families in school:


Annual dues amount - $