AFHE Leadership Conference – Arizona Families for Home Education

Group Information

Homeschool Group Name

County

Website or Social Page (if you have one)

Our group is listed on the AFHE support groups webpage (www.afhe.org/support-groups)

Who are your group members?

Only Homeschoolers

Both Homeschoolers and ESA students (hybrid)

Our group doesn’t ask

How many members in your group?

How can AFHE reach your group leaders throughout the year?

Group Contact First Name

Group Contact Last Name

Group Contact Email

Group Contact Phone

Registration

Please choose a registration option. $35 per individual, $50 per married couple (husband and wife attending together). If you have a group of 10 or more, we can offer a discount of $20 per person.

Individual ($35 each)

Married Couple ($50 each)

Large Group > 9 people ($20 / person)

Registrant Information

First Name (1)

Last Name (1)

Email (1)

Leadership Position or Volunteer Role (1)

Food Allergies / Dietary Restrictions (1)

Registrant 2 Info

First Name (2)

Last Name (2)

Email (2)

Leadership Position or Volunteer Role (2)

Food Allergies / Dietary Restrictions: Please be specific or write ‘none’ if it does not apply to you. (2)

Registrant 3 Info

First Name (3)

Last Name (3)

Email (3)

Leadership Position or Volunteer Role (3)

Food Allergies / Dietary Restrictions: Please be specific or write ‘none’ if it does not apply to you. (3)

Registrant 4 Info

First Name (4)

Last Name (4)

Email (4)

Leadership Position Or Volunteer Role (4)

Food Allergies / Dietary Restrictions: Please be specific or write ‘none’ if it does not apply to you. (4)

Registrant 5 Info

First Name (5)

Last Name (5)

Email (5)

Leadership Position Or Volunteer Role (5)

Food Allergies / Dietary Restrictions: Please be specific or write ‘none’ if it does not apply to you. (5)

Registrant 6 Info

First Name (6)

Last Name (6)

Email (6)

Leadership Position Or Volunteer Role (6)

Food Allergies / Dietary Restrictions: Please be specific or write ‘none’ if it does not apply to you. (6)

Registrant 7 Info

First Name (7)

Last Name (7)

Email (7)

Leadership Position Or Volunteer Role (7)

Food Allergies / Dietary Restrictions: Please be specific or write ‘none’ if it does not apply to you. (7)

Registrant 8 Info

First Name (8)

Last Name (8)

Email (8)

Leadership Position Or Volunteer Role (8)

Food Allergies / Dietary Restrictions: Please be specific or write ‘none’ if it does not apply to you. (8)

Registrant 9 Info

First Name (9)

Last Name (9)

Email (9)

Leadership Position Or Volunteer Role (9)

Food Allergies / Dietary Restrictions: Please be specific or write ‘none’ if it does not apply to you. (9)

Registrant 10 Info

First Name (10)

Last Name (10)

Email (10)

Leadership Position Or Volunteer Role (10)

Food Allergies / Dietary Restrictions: Please be specific or write ‘none’ if it does not apply to you. (10)

Registrant 11 Info

First Name (11)

Last Name (11)

Email (11)

Leadership Position Or Volunteer Role (11)

Food Allergies / Dietary Restrictions: Please be specific or write ‘none’ if it does not apply to you. (11)

Registrant 12 Info

First Name (12)

Last Name (12)

Email (12)

Leadership Position Or Volunteer Role (12)

Food Allergies / Dietary Restrictions: Please be specific or write ‘none’ if it does not apply to you. (12)

Please type out additional attendees info.

Terms of Agreement

I understand that if I cannot attend the event the registration fee is non-refundable, but my registration may be transferred to another leader in my group if I contact AFHE at groups@afhe.org no later than March15. I understand photos taken by an AFHE representative at this event may be published in the AFHE Magazine, on the AFHE website or social media pages, or to promote the Leadership Conference in future years. Any photos, video, or audio segments from this event will be used with the purpose of celebrating and promoting home education. I understand that leaders attending the conference may not record any portions of the leadership conference without prior approval. The event organizers strive to create a safe place for leaders to share with one another.

Payment Info

Total

First Name

Last Name

Address

City

State/Province

Zip/Postal

Credit Card