Apply

HSLDA Membership Application

We encourage you to submit your application form online, as it is the safest and most secure
way to apply for HSLDA membership. However, you can also download the application forms below
and mail/fax them into our office, if you prefer.

Click here to download a PDF file of our application form.

Online Application Form

HSLDA will treat this information with absolute confidentiality. Need help filling out this form or have questions? Contact our office at 519-913-0318 for assistance.

All my children are under 6.YesNo

1. Contact Information

Primary Contact *	First Name Last Name
What percentage of teaching will this person be doing? *
Spouse's Name *	First Name Last Name
What percentage of teaching will this person be doing? *
Address *
City * *
Postal Code * Phone *
Mobile Fax
Email *

2. Primary reason for joing HSLDA *

3. Was your family previously a member of HSLDA? *

Yes No

4. Do you have school-age children? *

Yes No

5. Are there any significant, recurring times during traditional school hours when your children will not be under the supervision of their parents? *

Yes No

If yes, please explain:

6. Has any legal action been threatened or brought against your children, homeschool, or anyone associated with it, or have you been contacted by any local school official, social worker, or other government official concerning your children, your homeschool, or absence from public school in the last 5 year? *

Yes No

If yes, please explain:

7. Membership and Payment Options *

	Monthly	One Year	Two Year
Standard	$13.56	$162.72	$325.44
Discounted	$11.30	$135.60	$271.20

Group Discount:
Click here for a list of registered discount groups
Full-time Pastor or Missionary
Single Parent

Please select your monthly payment option:* Credit Card Direct Debit (EFT)

Please select your yearly payment option:* Credit Card Cheque/Money Order

8. Terms and Conditions *

I agree to the Terms & Conditions of HSLDA membership

Digital Signature *

Developed by Lightfire Inc.

HSLDA Membership Application

Online Application Form

WHY HOME EDUCATION?

WHY HSLDA?

BENEFITS OF MEMBERSHIP