To print this page properly - use Print icon located on the page.
Please note that JavaScript has to be enabled.



header-trans.png  

Online Application

Level
Regular member ($30.00 (USD)) Subscription period: 1 year, on: September 1st Automatic renewal: no
You are invited to apply for membership in our Association. Please complete this online application form. You'll be guided through each step of the application process.

Note that you may edit your membership profile at any time, which gives you complete control over the display of your personal information.

Your membership application is pending until your payment is completed:
  • If you paid online, your electronic payment must be processed.
  • If you mailed a check, your check must be deposited and clear your bank.
You will receive an email when your membership application is completed.

Fill in application form

Application form

* Mandatory fields
 

 

*First name(s)
*Last name
Organization
*e-Mail
*Phone
*Password
 
Check this box to electronically sign the Statement of Faith and Waiver of Liability
 

Personal information

Photo/Avatar
Name(s) and age(s) of children
 

Contact information

*Address
*City
*State
*Zip code
 

Homeschooling experiences

Curriculum used in the past
Curriculum used now
*Is it OK for others to contact you regarding your homeschooling experiences?

Security check

* Code
 
Type the 6 characters you see in the picture
Captcha code image
Hear the code Try another code
Cancel
 
Feedback? Share It!
 © Middle Georgia Christian Home School Association