CHESS Membership Registration Form

20__-20__ 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 or Paypal if registering online

Membership Fees:
$ 20

Family name E-mail

Fathers name
Mothers name Birthday (MM/DAY)
__________________
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) Grade Childs Name Birth Date (MM/YY) Grade
(MM/YY) (MM/YY)
(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 Sciences Languages English
Art Crafts History
Bible Sports Music
Please underline choices you would like to participate in and circle choices you are willing to lead:
Extension Classes Scholastic Books Posters for Fire Prevention Week
Spelling Bee Keepers at Home Graduation Ceremony
Geography Bee Contenders of the Faith Prom
Debate Girl Scouts International Day
Year Book Boy Scouts Webmaster
Newsletter 4H Sports
Book-It Reading Program Chess Club
Field Trip Ideas
Other Ideas

Please review our CHESS Constitution at http://www.chesshomeschoolers.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)