Christian Home Educators of Kentucky

Graduation Celebration!

Diploma Order

Form

1. Graduate’s Full Legal Name (Please PRINT clearly)

____________________________________________________________

2….has completed the course of study prescribed by:

____________________________________________________________

(Name of home school as it will appear on diploma - limit 27 characters & spaces)

3. City: _________________________  State: Kentucky

Date Signed:_____________  Signature:____________________________

                                              (Parent)

FORM DUE BY: February 1, 2008

PAYMENT DUE: $28.00