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
*Last Name:
*Primary First Name:
Spouse First Name:
*Address:
*City:
*State/Country:
For United States and Canada:
For Other Countries:
State/Province:
Country:
*Zip/Postal Code:
*Area Code:
*Phone:
Phone 2:
Fax:
*Email:
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
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:
*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
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: