Request Membership

Fill out the form below and click the Continue button at the bottom.

Hearts at Home's annual membership fee is $40 (renewals begin every August).  This will be prorated to $20 starting on March 1st the following Spring.

Registration is paid by PayPal.  Once this registration form is approved and you have been given access to the website, all membership dues are NONREFUNDABLE.

Please remember that team assignments are completed on a first come, first served basis, so don't delay!

Please use Phone 2 for mom's cell phone number. 

Check here if you have read and agree to the TERMS OF SERVICE.

* indicates a required field
*Primary Last Name:
*Primary First Name:
*Primary Email:
Secondary Last Name:
Secondary First Name:
Additional Email Address(es):
Separate multiples with a comma.
If additional email address(es) are entered above, should they also receive weekly email and forum notifications, etc.?
Yes     No
For United States and Canada:
For Other Countries:
*Zip/Postal Code:
* Timezone:
Phone 2:
*User Name: (must be 3-15 characters long)
*Password: (must be 3-15 characters long)
*Confirm Password:
Church Affiliation:
Curriculum/Teaching Style:
Year you Started Homeschooling:
Family Business/Services:
*Weekly Email Update: Would you like to receive a weekly email update?
Yes    No
*Forum Emails: Would you like to receive forum notifications via email (not just the ones you create)?
Yes    No
Many Emails: Would you like to receive notifications IMMEDIATELY?
Yes      No
Delivery Type:
Whole Thread      New Part Only
Daily Digest: Would you like to receive notifications ONCE A DAY?
Yes      No
Classifieds - Many Emails: Would you like to receive ALL classified notifications IMMEDIATELY via email:
Yes    No
Classifieds - Daily Digest: Would you like to receive ALL classified notifications ONCE A DAY via email?
Yes    No
Message to Group Administrator:

Additional Questions:

1. *

Mom's Birthday Month:

2. *

Mom's Birthday Date:

3. *

Please select your team preferences below, then click "Submit."  Below is a summary of the requirements for each team.  For more detailed information, please read the "Team Info/Requirements" document (the link is on the left).

Field Trips: Each member is responsible for planning/coordinating one field trip and being a backup or co-coordinator of another field trip.  The months and ideas will be assigned at the team meeting in September.

Family Nights: Team members will rotate planning/coordinating monthly Family Night activities throughout the year (e.g. picnics, game nights, hayrides, etc.).

11 & Up: This team will plan a variety of monthly social and educational events.  Our goal is to provide opportunities to serve others, create a support network for the older students, and be educational and fun in nature. 

MNO: This team will be responsible for planning and setting up Mom’s Night Out meetings (typically the 4th Tuesday night of each month) and for planning the MNO Christmas dessert. You must be able to attend at least one MNO per semester, in order to be a part of this team.

Community Care:  This team will serve our members through welcoming newcomers, setting up meals for families in need (moving, new baby, sickness, etc.), prayer, and park days.


Team Preference #1


4. *

Team Preference #2

5. *

Team Preference #3

6. *

Hearts-at-Home Statement of Commitment

Our family has read the membership handbook and discussed membership into Hearts-at-Home.  We agree to abide by the rules set forth in this handbook, to follow the Code of Conduct, and to keep our commitments to the activities and teams of Hearts-at-Home.  We will support the leadership in its efforts to carry out the mission of the group.

7. *

Have you completed an Orientation meeting?

(1 required)
Yes No

Type in the text that you see above: