CHESS Membership Registration Form 2013-2014 School Year

CHESS P.O. Box 10272 Killeen, TX 76547

Please check one below:

_____ New Members: If you are applying for membership, you may send your completed registration form and your membership fee payment (cash) to the address above. Once your registration is received, you will be contacted by a board member. Please allow 7-10 days. How did you find out about us? ____________________________________________________ _____ Current Members: If you are renewing your membership, please send your completed registration form and membership fee payment (cash) to the above address.

Membership fees are payable by cash only Membership Fees:

______$ 10 if you prefer to receive our newsletter through the CHESS web page ______$ 15 if you prefer to receive our newsletter to your personal e-mail account ______$ 20 if you prefer a printed copy to be mailed to you

Family name______________________________ E-mail______________________________ Fathers name_____________________________ Mothers name____________________________ Address__________________________________ City____________________________ State _____Zip________ Home phone_________________________ (What time is the best time to call you?)_________________________ Alternative phone______________________ (is this a cell, work or relatives number?)____ __________________ Childs Name Birth Date (MM/YY) Childs Name Birth Date (MM/YY)

For how many years have you been homeschooling? __________ In order to support you better and/or so that others with common interests can contact you, may we include the following information on our roster? _________ Husband - Employer/Occupation _______________________ Wife Employer/Occupation _______________________ Local Church _______________________________________ School Name ____________________ Current Curriculum _______________________________________ Please circle specific skills that might help other homeschoolers, including your hobbies:
Math Art Bible Extension Classes Spelling Bee Geography Bee Debate Year Book Newsletter Book-It Reading Program Sciences Crafts Sports Scholastic Books Keepers at Home Contenders of the Faith Girl Scouts Boy Scouts 4H Chess Club Languages History Music English _______________ _______________ Posters for Fire Prevention Week Graduation Ceremony Prom International Day Webmaster Sports _____________

Please underline choices you would like to participate in and circle choices you are willing to lead:

Field Trip Ideas ________________________________________________________________ Other Ideas ___________________________________________________________________

Please review our CHESS Constitution at http://www.cen-texchess.com/ and have both parents initial the following: I have read the CHESS Constitution. Initials: Husband ________ Wife _________

Please review the Statement of Faith and have both parents initial each section below and sign at the bottom. STATEMENT OF FAITH
Section 1.
We believe the Bible is the inspired and only infallible and authoritative written word of God.

II Tim 3:16
Initials: husband ________ wife _________

Section 2.
We believe there is one God, eternally existent in three persons: God the Father, God the Son, and God the Holy Spirit.

Matt 3:16-17, Matt 28:19, II Cor 13:14, I Peter 1:2, Rev 1: 8

Initials: husband ________ wife _________

Section 3.
We believe in the deity of our Lord Jesus Christ, in His virgin birth, in His sinless life, in His miracles, in His vicarious and atoning death, in His bodily resurrection and His ascension to the right hand of the Father, and in His personal future return to earth in power and glory to rule forever.

John 1:1, 1 4, Luke 1:30-35, Heb. 4:15, I Cor 15:3-4, Eph 1:20
Initials: husband ________ wife _________

Section 4.
We believe the only means of being cleansed from sin is through repentance and faith in Jesus Christ.

Acts 3:19, Romans 3:21-26, I Peter 3:1-8, Titus 3:4-7

Initials: husband ________ wife _________

Section 5.
We believe in the resurrection of both the saved and the lost, one to everlasting life and the other to eternal damnation.

John 5:28, 29, I Thes 4:4-7

Initials: husband ________ wife _________

We agree with the CHESS Statement of Faith. ___________________________________________ Signature (husband) ___________________________________________ Signature (wife)