Request Membership Form

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

Once we receive your request you can expect a response email with further information within 48 hours, possibly longer in the summer. If you do not receive a timely response, please contact us at info@HeritageHSA.com.

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

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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 Secondary Email If Secondary Email is entered above, should it also receive weekly email and conversation notifications, etc.? Yes No 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 Heritage Homeschool Academy. 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 Heritage Homeschool Academy. 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 Privacy: Include my family information in the membership on-line directory? Yes No

Conversation Emails:

None Email Push Notifications (App only) Both
Message to Homeschool Group Administrator:

Additional Questions

1. How did you hear about Heritage?

Payment Options

$25.00 – Registration

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