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Name:      Birthdate (mm/dd/year):

Spouse:   Birthdate (mm/dd/year):

Anniversary:

Children's Names:                                 Birthdates (mm/dd/year):       Grade:

Street Address:  Town:

State:  Zip Code:

Home Phone (area code and numbers):

Cell Phone (area code and numbers):

Church Affiliation:

Number of Years You've Homeschooled: CHOOSE ONE Just Starting 1 - 2 years 3 - 4 years 5 - 6 years 7 or more years

Please share with us any curriculum you've used  (check all that apply):

Abeka                                Alpha Omega

Sonlight                             Beautiful Feet

ACE                                   Winter Promise

Bob Jones                        Story of the World

Rod & Staff                       Learnables

My Father's World            Geography Matters

WriteShop                         Christian Liberty Press

Saxon                                Konos

Apologia                           LLATL

Please list other curricula you've used as well as any comments/questions you might have.  Thank you!

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