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PCC LEAH Registration
<span id="AccountInformation">Account Information</span>
Login Email
Password
Password Confirmation
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Contact Information
Parent(s) First Names
Family Last Name
Street Address
City/Town
State
Zip Code
Telephone
Mom's Email
Mom's Cell Phone
Dad's Email
Dad's Cell Phone
Current Church
Active in Ministry
Area(s) of Ministry
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Educational Information
School District Name
County
Curricula Used
How did you hear about us?
Parent's Vocations and Skills
Member of HSLDA
Are you joining PCC LEAH primarily to attend our Friday Co-op?
If yes, how many children would participate?
Friday CoOp Description Hidden
[FridayCoOpDescriptionHidden]
Comment
Legislative Information
Federal Congressional District
NY Senate District
NY Assembly District
Volunteer Selection
I have read and agree to the volunteer guidelines below and am ready to make my volunteer selections. I understand that I'm only obligated to participate in one volunteer effort, however we are also encouraged to help out where there are needs.
VolunteerTermsHidden
[VolunteerTermsHidden]
Volunteer First Choice
Please make a volunteer selection.
Volunteer Second Choice
Please make a volunteer selection.
Volunteer Third Choice
Please make a volunteer selection.
Volunteer Comment
Statement of Faith
I attest that I agree with the PCC LEAH Statement of Faith and agree to abide by it
[StatementofFaithTextHidden]
Proceed to the Next Registration Step
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Full Name