Request Membership

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

 

* 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:
*Email:
Children:
Show Children Info to Other Families:
Section(s):
13/14 Membership Group Membership
 
*User Name: (must be 3-15 characters long)
*Password: (must be 3-15 characters long)
*Confirm Password:
 
Year you Started Homeschooling:
Family Business/Services:
*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:
Convention
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 Group Administrator:

Additional Questions:

1.
*

Choose one:

New Member Renewal
2.
*

Please check the activities you would be willing to work on this year.

(1 required)
Home Forum Used Book Sale
Testing Library
Fund Raising Promotion Night
H.E.R.I. Convention Graduation
Youth Activities None
3.

Group Affliation (If you are joining H.E.R.I. through your homeschool group, please indicate which group has submitted your membership.) 

(0 required)
ActsJax Adam's Academy
Agape Christian School Arlington Explorers
CJAX Classical Conversations-Mandarin
Classical Conversations Middleburg Classical Conversations-Southside
Classical Conversations of Orange Park Clay Homeschoolers
CrossPointe Co-op Eunice
Fellowship of Homeschool Companions First at Home
FL Scholars H.E.L.P. House
HisFun Intracoastal Adventurers
L.I.F.E. Home Educators Light of Christ
Lighted Path Homeschool Connection Mandarin Christian Homeschoolers
Pablo Academy PEP
Pinewood Homeschool Ministry Proverbs Christian School
Relying on Christ (ROC) River City Explorers
River City Homeschool Adventures (RCHA) Russell Christian Academy
SPICE Summit Homeschool Co-op
Torch TriStrands
Two Wings Homeschool Support Group Westgate Academic Co-op

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