Request Hearts Membership

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

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Primary Last Name Primary First Name Primary Email Family Username
Family Password
Confirm Family Password Secondary Last Name Secondary First Name Address City State / Province Zip / Postal Code Timezone Phone Enable Text Messages

By providing your phone number, you agree to receive transactional and/or informational SMS messages from HEARTS. Message and data rates may apply. Reply STOP to unsubscribe.

Phone 2 Enable Text Messages

By providing your phone number, you agree to receive transactional and/or informational SMS messages from HEARTS. Message and data rates may apply. Reply STOP to unsubscribe.

Upload Family Photo (Optional) .jpg, .gif or .png

Children

Add Child

Show Child information to other Families
Note: Child information will be available to instructors in either case.

Church Affiliation Year you Started Homeschooling

Conversation Emails:

None Email Push Notifications (App only) Both

Classifieds Emails:

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 Homeschool Group Administrator:

Additional Questions

1. Are you teaching, co-teaching, assisting or dropping off?

Use your Ctrl & Shift keys to select multiples.

All families must submit paperwork and payment in person to be fully registered for HEARTS 2. I have read and agree to the guidelines, policies, and statement of faith. 3. Please enter Emergency Contacts / Relationships / Phone numbers. 4. I hereby allow photographs/ video of my child's participation in HEARTS Ministry to be used via print / social media. I waive any claim for damages against Hearts Ministry from the unconsented-to use, alteration, or republication of my child's photographs by third parties obtaining copies of the print. *5. I/ We have read the information concerning this program and so hereby consent to authorize any volunteer of HEARTS Ministry to have charge of my children to obtain medical care, treatment, or hospitalization that may be necessary during HEARTS Ministry activities.

Payment Instructions

The registration fee for Drop-Off Students is $200
The fegistration fee for Assistants is $50.
The registration fee for Teachers is $0

The Website fee for all families is $15
Fees must be paid when registering your student.

All registration must be done in person

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