Text Box: 2008 Graduate Registration Form                                                  
1. Full Name:________________________________________________
 
2. Age by graduation day: ______________________________________
 
3. Physical restrictions: stairs and /or crossing a stage?  Please specify: 
Graduate:____________________ Parents:________________________
 
4. How many family members other than the graduate will attend? ______
 
5. How many friends will attend?  _______  (realistic guess)
6. What song/music would you like included in the program?___________________________________________________________
7.  What kind of decorations would you like?  (balloons, candles, flowers, 
plants, etc. ????) _____________________________________________ 
 
8. Would you like to give a BRIEF comment (under one minute)  
(Your comment must fit one of these categories: Yes: _____    No: _____
· “Thank you” to those who have invested in your life   
· “what homeschooling has meant to me” 
· how God has directed you through your homeschool experience. 
All comments will be reviewed and must be approved.
 
9. If you have any ideas/suggestions for your ceremony/reception, 
please write them on the back of this page.
 
10. Parents’ Names: _________________________________________
 
11. Phone #: area code:________ phone:______________________
 
12. Mailing address:__________________________________________
__________________________________________________________
 
13. E-mail address:  If you do not presently have one, it is a free service at 
your local library.  If you absolutely cannot get one, you must send an 
additional $20 with your registration to cover the phone calls that will be 
necessary every time an e-mail is sent. ( It multiplies the work, effort, and 
expense when you do not have one.)  It will be used for graduation only.  
I have enclosed $20:_________________
E-mail address: Parents:_______________________________________
Graduate:_____________________________________
 
14. What would you like to have for your Class 
       Scripture?:_______________________________________________
 Motto?: _________________________________________________
 
 
 
 
 
Parents, this is for Your consideration.  Please grab a calendar to jot down a few notes.  This information is 
Text Box: GRADUATION 
CELEBRATION!
 
Saturday, May 10, 2008
2:00 P.M.
Shively Heights Baptist 2627 Crums Lane Louisville, KY 40216
PARENTS:
Please mark your 
preferences on page 5
 
TO REGISTER:
Send in page 1, page 5 
and your Registration 
Fee to: 
Sherryl Wilson
32 Kathryn Avenue
Florence, KY 41042
 
Make payable to:
2008 CHEK Graduation
 
DATES to REMEMBER!
Registration fee:
Dec. 31, 2007                 $ 125
 
 

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