Registration
(optional)

Please complete all sections of the registration form.  To advance to the next section click the 'Next' button at the bottom of the page.  All required fields on your current page must be completed before you can advance to the next page. 

Once submitted your registration will be processed.  We perform a background check on all applicants and your account will NOT be activated until the background check and your payment are received.  There is a $25 annual fee for BRHSA that helps support our Website, Social and Academic Events, Graduation, BRHSA Scholarships and many other things.  We currently do NOT process online payments.  You can mail a check or money order (please do not mail cash) to PO Box 142 Bowling Green, KY 42101.

Please use a valid mail address
Bad Password
Passwords do not match
Account Info
Please use a valid phone number
(optional)
(optional)
Please use a valid phone number
Spouse Info
(optional)

Please complete information about your spouse.  Fields in this section are not mandatory but should be completed if you are married as this information is used to create the directory.

(optional)
(optional)
(optional)
(optional)
(optional)
(optional)
(optional)
(optional)
Please use a valid phone number
(optional)
(optional)
Please use a valid phone number
(optional)
Please use a valid mail address
Additional Adults
(optional)

If you have people over the age of 18 living at your address, then you MUST provide information about them on the registration form.  This information will be used for background checks and security information.  This information will not be included in the directory or visible on your profile page.

(optional)
(optional)
(optional)
Please use a valid mail address
(optional)
(optional)
Please use a valid phone number
(optional)
(optional)
(optional)
Please use a valid mail address
(optional)
(optional)
Please use a valid phone number
Children Info
(optional)

Please complete the following section for every child under the age of 18 that is currently being home schooled.  This information will be used in our directory.  It is used to help identify families who may be interested in events, field trips or educational opportunities.

(optional)
(optional)
(optional)
(optional)
(optional)
(optional)
(optional)
(optional)
(optional)
(optional)
(optional)
(optional)
(optional)
(optional)
(optional)
(optional)
(optional)
(optional)
(optional)
(optional)
(optional)
(optional)
(optional)
(optional)
(optional)
(optional)
(optional)
(optional)
(optional)
(optional)
(optional)
(optional)
(optional)
(optional)
(optional)
Terms and Conditions
(optional)

In the document below the following parties are identified:

  • Applicant (the "Releasor")
  • Barren River Home School Association (the "Releasee")


Barren River Home School Association (BRHSA) is a group of volunteer members and their families. Our leadership team is comprised of members within our organization who have volunteered to guide activities and lead group discussions. In an effort to hold harmless those volunteer members in leadership and those volunteer members who come forward to organize events, field trips, coops, parties, etc. we ask that ALL MEMBERS acknowledge that they are responsible for themselves, their children and their guests AT ALL TIMES. Any damages or liabilities to persons or property are the sole responsibility of the person (or in the case of minors, parents/legal guardians of minor child) responsible for said damage or liability.



• I, as agent for myself and family members, the Releasor, being of lawful age, during the time that I am a member of BRHSA, in consideration of being permitted to participate in home school support group meetings and activities run and/or operated by the Releasee, WAIVE, RELEASE, and DISCHARGE the Releasee, its owners, officers, directors, employees, members, agents, assigns, legal representatives and successors, and all business associates and partners involved in the presentation of the above noted activity and each of them their owners, officers and employees, from all liability for or by reason of any damage, loss or injury to person and property, even injury resulting in the death of the Releasor and/or family members, which has been or may be sustained in consequence of the Releasor’s participation the activity(s) described above, and notwithstanding that such damage, loss or injury may have been caused solely or partly by the negligence of the Releasee.

•I hereby acknowledge and agree that I have carefully read this Waiver and Release agreement, that I fully understand the same, and that I am freely and voluntarily executing the same.

•By signing this release I and my family members will be forever prevented from suing or otherwise claiming against the Releasee for any property loss or personal injury that I or my family members may sustain while participating in or preparing for the above noted activity(s).

•I have been given the opportunity and have been encouraged to seek independent legal advice prior to signing this Waiver and Release agreement.

•I understand that this Waiver and Release agreement is binding on me, my spouse, my heirs, my executors,administrators, personal, representatives and assigns.

•This release contains the entire agreement between the parties to this release and the terms of this release are contractual and not a mere recital.

•This Waiver and Release Agreement will be constructed in accordance with and governed by the laws of the State of Kentucky, and it is acknowledged by the Releasor to be broad and inclusive as permitted by the laws of this jurisdiction.

 

Cancel