LHSA - Lubbock Home School Association

Est. August 2001 – Form Revised May 2008

Membership Form – 2008 – 2009 School Year

Mail completed form and Fee to

Venus Jones 2521 61st, Lubbock, TX 79413.

Make checks payable to LHSA.  Thanks!

Date:  _____________________

Wife:  ___________________ Occupation:  ________________  
Birthday:  _______________

Husband:  _________________ Occupation:  ________________  Birthday:  _______________

Address:  _____________________________________________________________________

City and Zip:  __________________________________________________________________

Telephone:  ____________________________
Email:  _________________________________

Yahoo ID: ____________________________________________________________________

Children                                         Ages                                               Birthday cont. on back if needed

______________________________________________________________________________

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Circle your choice of membership levels:

Tier 1 $25 Includes Valentine's & Christmas parties, Field Trips, Support, Business Expenses Tier 2 $50 Includes Tier 1 and End of the Year party, PSIA Academic and OAP group entry fee (other fees WILL BE incurred by participants)

Memberships may be upgraded during the year if you'd like.

LHSA reserves the right to refuse or remove membership of any individual or family.