Mail list with $.63 stamp to:
Beverly Hernandez
Homeschool Clubs
5815 E. La Palma Ave. #184
Anaheim, CA 92807
Student's Name___________________________________________
Address_________________________________________________
________________________________________________________
Grade Level____________
**Remember to send $.63 stamp with form**
Parent Initial__________
Which Club and Assignment?__________________________________________
(example: Writing Club - Valentines Poetry)
Title of submission:__________________________________________________
(example: "My Mom")
Date submitted:_____________________________________________________
(Date submitted online)
Please enclose copy of submission.

