Enrichment Classes            
of Carrollton    

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Enrichment Classes of Carrollton

New Member Application













For Administrative Use Only:

Date Rec’d ______  Order ____

Notified 1st ______  2nd _______

Dropped from waiting list Y/N:

Registration # ______________
Family Last Name

 













Phone













For Administrative Use Only:

Confirmed Area of Service:

 


_______check    _______ cash
(           )

Mother’s Name

 

Father’s Name

 

Address

 

City, Zip

 

Years Homeschooling

 

Church Affiliation

 

Pastor’s Name

 

E-mail Address

 

 

 

      Children’s names as you wish them to appear on name tags (please include any nursery or preschool children)

Child’s Name

 

Grade

_____ School Year

 

Birthdate

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

     Does your family have any special needs?

 

 

     Parents talents/experience/hobbies/areas of interest (to help ECC identify future resources for classes)

 

       

       Classes you would be interested in teaching: Grade levels you feel comfortable teaching:  __K; 1-3__; 4-6_; 7-12__; 9-12____

 

 

     I/we would like to serve in the following areas:

 

Teach/co-teach

 

 

Clean –up (3:00-5:00 Fri)

 

 

Set-up (3:00-4:00 Thurs)

 

     Families you are acquainted with who are currently involved in ECC:  (a written recommendation from current families may be required)

 

 

 

 

 

 

Statement of Faith

 

II Timothy 3:16

All scripture is inspired by God and is profitable for teaching

John 3:16

For God so loved the World that He gave His one and only Son, that whoever believes in Him, shall not perish but have everlasting life.

Ephesians 2:8-9

For by grace are you saved through faith and that not of yourselves, it is a gift of God, and not of works, lest any man should boast.

 

I have read and believe these scripture passages which summarize the Statement of Faith of Enrichment Classes of Carrollton.  Upon acceptance, I understand that this application means that I have made a commitment to the families of ECC and I fully intend to fulfill those commitments.

 

Signature Required

 

 

Date:

 

Please attach a non-refundable $50.00 pre-registration fee that will be deposited upon receipt. 

Make check payable to: ECC Return to:  Kathy Nickel, 12927 Burninglog Lane, Dallas, TX  75243  (972) 235-0656

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