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LAMP Homeschoolers of Calloway County, Inc.

Membership and Directory Form


2014-15
Parents Names ________________________ ______________________________________________
Home address ________________________________________________________________________
e-mail address ________________________________________________________________________
Home phone __________________________Cellphone_______________________________________
Children: (date of birth allows the application information to remain current. Month/year is acceptable)
CHILD

DOB

CHILD

DOB

I have read and agree with the LAMP Expectations and Bylaws.
_______________________________________ _____________________________________________
Signature required

Mail completed application and $10 suggested donation to:


Sue Ann Stevens
1718 Melrose Ct
Murray, KY 42071

date

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