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

* *
* *

2. Primary reason for joing HSLDA *

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


4. Do you have school-age children? *


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


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? *


If yes, please explain:

7. Membership and Payment Options *
Monthly One Year Two Year
By selecting a group name for discount purposes, you give us permission to verify your information with the group.

Please select your monthly payment option:*
Please select your yearly payment option:*

8. Terms and Conditions *

Digital Signature *

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