HSLDA Membership Renewal

Would you like to renew your current HSLDA membership?

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

Click here to download a PDF file of our renewal form

Online Membership Renewal 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. Name & Address Confirmation

* *
* *
2. Membership Status *

Would you like to receive a gift for renewing early?  

3. Please tell us why you are not renewing your membership.

4. Evaluation of Services

Please comment on the service you received from HSLDA over the course of this past year. Your candid comments are appreciated as they assist us in making necessary corrections and allow us to serve you better.

5. Membership and Payment Options (All payment amounts include HST.) *

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:*

6. Terms and Conditions *

Digital Signature *

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