<--- BACK <---			*********************** One time Registration Fee of $10.00 ************************ Please print and fill out this form completely.  This form must accompany your check. Send it with the registration fee to P.O. Box 262, Claymont, DE 19703 Make checks payable to Brandywine Valley Home Education Resource Organization, BVHERO
		Brandywine Valley Home Education Resource Organization BVHERO Registration Form Date__/__/__
		Please choose one: _____currently homeschooling  _____considering homeschooling Name: ______________________________________________________ Address: ________________________________________                 ________________________________________ E-mail: _____________________________ Phone: _________________ Spouse’s name: ________________________________________________ Children’s name and ages: _________________________________________-   ______M/F _________________________________________-   ______M/F _________________________________________-   ______M/F _________________________________________-   ______M/F _________________________________________-   ______M/F _________________________________________-   ______M/F _________________________________________-   ______M/F How did you hear about us?