Request Membership

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

H.E.A.R.T. Membership requires the following:

(1) Complete Member Registration (below)
*** Please be sure to list all children

(2) Read and Agree to our Terms of Service

(3) Read and Agree to our Code of Conduct* and Statement of Faith*

(4) Interview with the HEART Board

(5) Submit Payment of Membership Dues of $45.00 (once membership is approved)

* - link(s) will open in a new window

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 Username Password Confirm Password Secondary Last Name Secondary First Name Secondary Email If Secondary Email is entered above, should it also receive weekly email and forum notifications, etc.? Yes No Address City State / Province Zip / Postal Code Timezone Phone Enable Text Messages

I am able and agree to receive text messages at the number above.
I understand carrier message and data rates may apply.

Phone 2 Enable Text Messages

I am able and agree to receive text messages at the number above.
I understand carrier message and data rates may apply.

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.

Section(s) Pre-K
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
Ninth Grade
Tenth Grade
Eleventh Grade
Twelfth Grade
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

Select which forum categories you would like to be notified about: HEART Board Announcements & General
General
Activities and Special Events
American Girls Club
Basketball - H.E.A.R.T. Falcons
Bowling Club
Elementary Connections (age 2-5th grade)
Field Trips
Flying Colors Club (Art Club)
Fundraising
Gardening Club
Good Works For Christ- Interfaith
High School Connections (9th-12th grade)
High School Graduation
High school Prom
Karate
Kindergarten Graduation
Legislative Alerts
Mad Scientists Club (elementary science)
Middle School Connections (6th-8th grade)
Minecraft Club
Mom's Group
Online Curriculum Sale
Outreach & Ministry
Science Club
Skate Park Club
Spelling Bee
Yearbook
Yearbook/HEART BEAT Newsletter Club
Used Curriculum Sale
Bible Study Club 8th-12th grade

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 NEW to H.E.A.R.T. or a RETURNING member? New Member
Returning Member
2. Are you a registered homeschooler with a county or registered under an umbrella school as a homeschooler in Florida? Yes
No
3. Are you a current member of Florida Parent Educators Association (F.P.E.A.)? Yes
No
4. If YES, please write your member number 5. Do you provide child care for children who are not home schooled that will need to attend H.E.A.R.T. INC. functions with you (including clubs, activities, field trips)? If YES, a Hold Harmless Agreement* (also found in Publications/Articles) must be signed by the child's parent and turned in to the event leader.

* - link(s) will open in a new window Yes
No
6. If you are new to H.E.A.R.T., please state your reasons for leaving your previous school or home school group (if applicable). 7. Has your child(ren) ever been expelled or suspended from school? Yes
No
8. If YES, please explain. 9. Does your family regularly attend church? Yes
No
10. If YES, what church do you attend? 11. Please tell us about your personal relationship with the Lord Jesus Christ. 12. Briefly explain why you are seeking membership with H.E.A.R.T. INC. 13. List any current members of H.E.A.R.T. INC. who can recommend you for membership. 14. By checking this box, you acknowledge that you have read our Statement of Faith and that you are in full agreement with it.
* - link(s) will open in a new window (1 required) Yes, I agree
15. By checking this box, you are acknowledging that you have read and each of your family members are aware of the code of conduct* and will be held accountable for any infractions.
* - link(s) will open in a new window (1 required) Yes, I agree
16. By checking this box I agree that an adult member of our family will attend both required "large group meetings" (LGM), one to be held in August, the other in the Spring. (1 required) Yes, I agree
17. I agree to volunteer at a minimum of 1 of the H.E.A.R.T. events that will be listed at the August large group meeting. (1 required) Yes, I agree
18. Please list any talents/giftings that God has given you/your family that would be a blessing to our group (so that we can match you with opportunities to serve) 19. Do you agree to allow H.E.A.R.T. to use photos of the members of your family for slideshows, yearbook, membership directory, brochure, etc. Click 'no' if you do not want your photo used or included in anything (except yearbook). Yes
No

Payment Instructions

Mail payment made payable to H.E.A.R.T. INC. to PO Box 830004 Ocala, Fl 34483. For mailed payments please allow at least 2 weeks for processing.

Your $45.00 payment of membership fees indicates that you have read and agree to abide by our Statement of Faith and Code of Conduct.