Request Membership

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

MEMBERSHIP FOR THE 2014-2015 SCHOOL YEAR IS NOW OPEN. 

In order to guard the privacy of our members the PSG has decided not to have an online directory of our members.  There is a question on this form regarding whether or not you want your family to be included on an online directory.  It doesn't matter how you answer this question - there will not be a directory.

A family membership is good through August 31, 2015.  The membership is $35.00 if  you mail a check.  Checks are payable to:  Broward Homeschool PSG and mailed to:

Broward Homeschool PSG

7421 SW 7 St.

Plantation, FL  33317

If you use paypal it will be $37.00.  There will be no refunds.  Thank you.

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
*Address:
*City:
*State/Country:	For United States and Canada: AE - US AK - US AL - US AR - US AZ - US CA - US CO - US CT - US DC - US DE - US FL - US GA - US HI - US IA - US ID - US IL - US IN - US KS - US KY - US LA - US MA - US MD - US ME - US MI - US MN - US MO - US MS - US MT - US NC - US ND - US NE - US NH - US NJ - US NM - US NV - US NY - US OH - US OK - US OR - US PA - US RI - US SC - US SD - US TN - US TX - US UT - US VA - US VT - US WA - US WI - US WV - US WY - US AB - CA BC - CA MB - CA NB - CA NF - CA NS - CA NT - CA NU - CA ON - CA PE - CA QC - CA SK - CA YK - CA For Other Countries: State/Province: Country:
*Zip/Postal Code:
* Timezone:	Atlantic (Canada) (AST) Eastern (US/Canada) (EST) Central (US/Canada) (CST) Mountain (US/Canada) (MST) Pacific (US/Canada) (PST) Alaska (US) (AKST) Hawaii (US) (HST)
*Area Code:
*Phone:
Phone 2:
Fax:
Children:
Show Children Info to Other Families:
Section(s):
*User Name:	(must be 3-15 characters long)
*Password:	(must be 3-15 characters long)
*Confirm Password:
Curriculum/Teaching Style:
Year you Started Homeschooling:	2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940
*Weekly Email Update:	Would you like to receive a weekly email update? Yes    No
*Privacy:	Include my family information in the membership on-line directory? 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 Daily Digest Delivery Type: Detailed      Summary Select which forum categories you would like to be notified about: Homeschooling High School Homeschooling Your Special Needs Child New to Homeschooling General
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

Additional Questions:

1. * Are you a returning PSG member? Yes No

2. Message to Membership Secretary

Type in the text that you see above: