Registration If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required First Name * Last Name * Email * Mailing Address City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip / Post Code Cell Number Name of Home Congregation, City, State Grade level(s) of your child(ren) Infant/ToddlerPre-KElementary (Kinder-5th Grade)Middle School (6-8th Grade)High School (9-12th Grade) How long have you been homeschooling? 1-2 years3-5 years6-10 years11+ yearsI haven't started but would like to learn more I plan to attend: Thu, Fri, & SatFri & SatSat OnlyUnable to attend but I want to order a t-shirt I plan to make a reservation at the Fairfield Inn using the group discount. T-shirt Order * No T-shirtSmallMediumLargeXL2XL (+$2)3XL (+$2)4XL (+$2) Note: The registration fee of $35 covers retreat expenses including a catered dinner Friday night and lunch Saturday. Please note the next page will take you directly to the payment screen. There are several options including payment for your 2018 COCHE t-shirt.