EHA Registration Form

Enrollment Registration

Annual (Yearly) Registration & Monthly Dues
Admission Requirements:

• Female, ages 6-17 years.
• Resident of Georgia (Athens, GA or surrounding areas).
• Membership Auto-Draft Authorization Form must be completed in person.

Attendance Requirement:

Commitment: 9 months (September 2024 - May 2025)

Meeting Schedule:

🔔Members must attend 75% of regular scheduled meetings to participate in any events and/or trips.
📆In-person meetings: Biweekly on Saturdays 2pm-4pm. (Beginning Sept.2024)
🛜 Virtual sessions: Via Zoom or Google Meet (typically on Wednesdays at 7:30pm but dates will be announced 7 days in advance).

Notifications:
- If meetings are canceled or postponed, parents will be notified and provided with a rescheduled date.

Attendance Policy:
- Excessive tardiness and absences will result in removal from the program.

Annual Membership Enrollment & Monthly Dues:

Monthly dues support the maintenance of our clubhouse and programs. A portion of these dues is allocated for lesson materials, snacks, members-only apparel, and select community events and outings. *EHA offers payment options for monthly dues.

1 Child : $100 Annual Enrollment - $50/Monthly Dues

2 Children: $200 Annual Enrollment-$95/Monthly Dues

3 Children: $250 Annual Enrollment - $145/Monthly Dues

*Scholarships are provided based on availability and eligibility.

**ALL fees are non-refundable**

🎉Official Welcome Packet(s) will be sent via email once enrollment registration is complete.
Parent Name 1*

First NameLast Name
Parent Name 2

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*

Area CodePhone Number
Alternate Phone Number

Area CodePhone Number
Number of Children
Child's FULL Name:*
Child's Age:*
Child's DOB: (Ex:10/01/2010)*
Any allergies or medications?*
Child #2 FULL Name:
Child's Age:
Child's DOB:
Any allergies or medications?
Child #3 FULL Name:
Child's Age:
Child's DOB:
Any allergies or medications?
Which Chapter location are you interested in?*

Athens,GA & Surrounding Areas
Signature: I acknowledge that upon my child's official acceptance, there will be monthly dues required to support the maintenance of the program. *

Clear
Signature -Additionally, I understand that all fees are nonrefundable but may be transferred ONCE to a future enrollment with EHA if my child is unable to attend the current sessions.*

Clear

Annual Enrollment *

1 Child $100.00

Annual Enrollment

2 Children $200.00

Annual Enrollment

3 Children $250.00

Annual Enrollment

Total $0.00

Payment Methods

Credit Card

ACH Bank Transfer

Afterpay

Should be Empty:

Enrollment Registration

Payment Methods