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Membership Application

James River Cobblestones

Reference Form 2025-2026

indicates a required answer

All information provided in this form will be held in strict confidence.  Only members of the admissions committee will review this document.
1. *

Name(s) of Applicant(s):

You may list either the parent name or the child's name.
2. *

I know this family in my capacity as:
3. *

I have known this family for
Less than 1 year 1-3 years
More than 3 years
4. *

I recommend the family listed above be approved for membership in the James River Homeschool Foundation in order to attend classes at Cobblestones.
Yes, enthusiastically Yes, with reservations
No
5. 

If you answered, "Yes, with reservations" or "No" above, please explain.
6. *

What are some strengths that this family will bring to our organization.
7. 

Please share any other information that you believe will be helpful in processing this family's membership application.
8. *

Please enter your name.
9. 

May we contact you if we have more questions?  If so, please add your phone number.
10. *

Date submitted:
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