Membership Application Form

Please print this application out and send with your $10 registration fee payable to:
Jennifer Ackerman
12785 Pine Crest DR.
Olive Branch MS 38654

OBLIQUE registration is available any time during the year — it is never "too late" to join.
However, no matter when you join OBLIQUE this year, your membership will expire May 31st.

After receiving your application you will be sent a welcome email that
contains passwords for members only access on the website

Name:
Address:

Phone:

Email:
This is my year of homeschooling
Check one:
New to OBLIQUE	Renewing member
Children's Name(s):	Birthdate:	Homeschooled?
1.		yes	no
2.		yes	no
3.		yes	no
4.		yes	no
5.		yes	no
6.		yes	no
7.		yes	no
8.		yes	no