*School / Family Information:

Referral Member Name*_________________________________________________________________________

Teaching Parent Name*_________________________________________________________________________

Your Home School Name*__________________________________________________________

Address*_____________________________________________________________________________________

Mailing Address ________________________________________________________________________________

Phone Number*( __ __ __) __ __ __ - __ __ __ __ 

Alternate Phone Number ( __ __ __) __ __ __ - __ __ __ __

Your Email Address  ___________________________________________

*Student’s Information:

Please list here all children in your household being home schooled. 

Initial required on each line, which confirms you have read and agree to each term herein.

_____I/We, the undersigned, agree to the following terms of membership set forth by South Carolina Code of Law Section 59-65-47 and those of New Beginnings Home School Association; and

_____I/We the Parent / Legal Guardian / Foster Parent are the only approved Teacher(s) for all mandated subjects, and (who is/are the legal guardian (s), hold a High School Diploma or GED; and

_____I/We the Parent / Legal Guardian / Foster Parent are the only approved Teacher(s) for all mandated subjects, and (who is/are the legal  guardian (s), agree to teach 180 days within New Beginnings Home School Association's 365-day enrollment school year. (Be able to obtain 180 days from August 01 through July 31); and

_____I/We the Parent / Legal Guardian / Foster Parent are the only approved Teacher(s) for all mandated subjects, and (who is/are the legal  guardian (s), agree to plan an appropriate course of study for each student in the core subjects of reading, writing, mathematics, science, and social studies, and in grades seven through twelve, composition and literature; and

_____I/We the Parent / Legal Guardian / Foster Parent are the only approved Teacher(s) for all mandated subjects, and (who is/are the legal  guardian (s), agree to maintain educational records including:

    1 - A plan book, diary, or other record indicating subjects taught and activities engaged in; and

    2 - A portfolio of samples of the student's academic work; and

   3 -  A semiannual progress report including attendance records and individualize documentation of the student's academic progress in each of the basic instructional areas specified above; and

_____I/We the Parent / Legal Guardian / Foster Parent are the only approved Teacher(s) for all mandated subjects, and (who is/are the legal guardian (s), agree to mail to New Beginnings Home School Association the Statement of Compliance form on or before the last day of July. (Members will need to complete, sign and mail or fax to New Beginnings Home School Association the Statement of Compliance form, once your home school has completer the 180 attendance days.); and

_____I/We the Parent / Legal Guardian / Foster Parent are the only approved Teacher(s) for all mandated subjects, and (who is/are the legal guardian (s), agree to Respect and Uphold the Privacy of ALL MEMBERS; and

_____I/We the Parent / Legal Guardian / Foster Parent are the only approved Teacher(s) for all mandated subjects, and (who is/are the legal guardian (s), agree to make all my records available to New Beginnings Home School Association for viewing at New Beginnings Home School Association’s request, in the event of any legal challenge requiring New Beginnings Home School Association’s confirmation of your legal status on your behalf; and

_____I/We the Parent / Legal Guardian / Foster Parent are the only approved Teacher(s) for all mandated subjects, and (who is/are the legal guardian (s), understand that giving any inaccurate, misleading, or incomplete information (in any respect) will result in the immediate termination of membership from this association; and

_____I/We the Parent / Legal Guardian / Foster Parent are the only approved Teacher(s) for all mandated subjects, and (who is/are the legal guardian (s), understand New Beginnings Home School Association holds all copyrights to any and all association issued paperwork.   Further, all association issued paperwork may not be copied and or maintained by any official, unless said official has obtained specific written permission from New Beginnings Home School Association Director.

_____I/We the Parent / Legal Guardian / Foster Parent are the only approved Teacher(s) for all mandated subjects, and (who is/are the legal guardian (s), will never allow entry into the "Private Home" for any reason, without a warrant, should any public official contact the family at the "Private Home".

_____I/We the Parent / Legal Guardian / Foster Parent are the only approved Teacher(s) for all mandated subjects, and (who is/are the legal guardian (s), will contact New Beginnings Home School Association immediately should any public official contact the family at the "Private Home" for any reason.

_____I/We the Parent / Legal Guardian / Foster Parent are the only approved Teacher(s) for all mandated subjects, and (who is/are the legal guardian (s), understand that the Parent / Legal Guardian / Foster Parent are solely responsible for obtaining any and all legal, which includes attorney, attorney costs, ect., and hold New Beginnings harmless for any legal issues that may arise.

*(Circle your answer) Member of HSLDA (Home School Legal Defense): Yes / No; PPL (Pre Paid Legal): Yes / No; NHELD (National Home Education Legal Defense: Yes / No; 

Please provide your member number if Yes:______________________  

Other Attorney: Yes / No  

Please provide your Attorney Name if YES: _______________________________________

Are you or your spouse a member of the Armed Forces; employed by the Federal or State Government; a member of the press or employed therein? Yes / No

Please provide the name of said entity if you answered yes: ______________________________________________

By signing this agreement I/we acknowledge that we have read and agree to all the terms and conditions of this agreement and; all the terms listed on New Beginnings Home School Association of South Carolina Terms of Use page on the website.

Date* ______/_____/_____

Date* ______/_____/_____

NOTARY SECTION: