National Black Home Educators Providing Parent directed education
 
National Black Home Educators of Louisiana
13434 Plank Road – PMB 110
Baker, La 70714
 
                                                              Suggested Donation: $28.00 – yearly          
 
Please give us a little information about yourself
 
Parent(s)’ Name: Last Name: ____________________________________ 
 
Husband_______________________________Wife__________________
 
 
Address: _________________________________________________________________
 
 
Email Address: ____________________________________________________________
 
Children’s Names and Ages:
 
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Volunteer Skills: ___________________________________________________________

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Special Talents: ____________________________________________________________
 
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