Heartland Homeschool Association

Request Membership

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

Thank you for your interest in joining our group! Please make sure you have read the Policy and Procedure Handbook located in the "Documents" section of our website and understand the Terms of Service before submitting your membership. Once you complete the form, click Continue below in order to complete the registration and payment process.

If you have any questions about the semester, membership, or fees, please contact us BEFORE registering.

Fee Schedule:

Family Semester Fee: $55 per family (Non-refundable) This includes a Building Fee, Insurance Fee and Membership Fee.
Class Fee: $25 per child Class registration for Fall 2025 will run August 26, 2025 through September 4, 2025. You must have requested membership and have your account approved and setup prior to class registration day.
Background Check Fee: $20 All new members must pay this non-refundable fee. Please complete the forms, available on the website after logging in, and provide to us prior to the first day of classes. (The check will remain valid for a period of 5 years. Visitors attending more than 2 consecutive weeks must also have a background check completed. If a member’s background check requires additional fees (international or State mandated) the member will be responsible for the added fee.)

*Please contact us directly to set up a payment plan for your fees. Our complete financial policy can be found in the Policy and Procedure Handbook.

*Membership Approval will not be granted until payment is complete or payment arrangements have been made.

*******

NOTE: The Primary Name below needs to be the name of the attending parent.

NOTE: For each child, in the "Medical Notes/Allergies" section, please list any FOOD allergies your child may have.

NOTE: For each child, In the "Medical Notes or Other Concerns" section, please list any other special concern you think we need to be made aware of.

Check here if you have read and agree to the TERMS OF SERVICE.

indicates a required field

Primary Last Name Primary First Name Primary Email Family Username
Family Password
Confirm Family Password Secondary Last Name Secondary First Name Secondary Email If Secondary Email is entered above, should it also receive weekly email and conversation notifications, etc.? Yes No Address City State / Province Zip / Postal Code Timezone Phone Enable Text Messages

By providing your phone number, you agree to receive transactional and/or informational SMS messages from Heartland Homeschool Association. Message and data rates may apply. Reply STOP to unsubscribe.

Phone 2 Enable Text Messages

Upload Family Photo (Optional) .jpg, .gif or .png

Children

Add Child

Year you Started Homeschooling Weekly Email Update: Would you like to receive a weekly email update? Yes No

Conversation Emails:

Would you like to receive conversation 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

Classifieds Emails:

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 Homeschool Group Administrator:

Additional Questions

1. Cell Phone Number (if different than primary phone above) 2. I understand that I may only register my own child(ren). I understand that I may not bring children who are not my own to Co-op classes. I understand that I may be the assigned attending adult for another child, but their parent must be registered as a member. By signing below, I acknowledge these policies. By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.
3. Children are required to have an adult on the premises with them at all times. Please list the name of the attending/repsonsible adult. 4. Members must be homeschooling or actively considering homeschooling one or more children. Effective July 1, 2025, new families with children enrolled in any Missouri public school online program are NOT considered homeschooling. Please indicate below what homeschool program you are using. 5. Emergency Contact Other Than Attending Adult 6. Emergency Contact Phone Number 7. In the event that a medical emergency and you are unable to answer for yourself, please list any pertinent medical information for us to provide emergency personnel.

This information will be kept in the strictest confidence and will ONLY be used in the event of an emergency. 8. If I am not teaching, I agree to help in at least 2 classes. I understand that I may not be able to help in a classroom with my child(ren). I agree
9. Once your account is approved and class registration takes place, you will be added to a current semester private Facebook group. Most communication takes place in this group. Please provide your Facebook user name to be added to the private group. 10. Photo Agreement: No pictures taken by teachers or parents are allowed to be posted to a public area of the internet (public website, public Facebook page, etc). Photos are only allowed to be shared in the current semester’s private group. By signing below I am agreeing to this policy.

{Type Name Below} 11. Handbook Agreement: I certify I have received and have read a copy of the Policy and Procedure Handbook.

{Type Name Below} 12. Student Responsibilities: By typing my name, I (the parent/guardian) certify that I have reviewed the Student Responsibilites portion of the Handbook with my child/children and they understand and agree to abide by it.

{Type name below} 13. By-Laws: By typing my name below, I certify that I have received and read a copy of the Heartland Homeschool Association By-Laws.

{Type Name Below} 14.

Abuse Policy

Below is the Abuse Policy from the HHA Handbook. By typing my name below, I certify that I have read and agree to abide by said policy.

"Under Missouri state law, anyone who is responsible for the care of children is mandated by law to report suspected abuse or neglect. All members are compelled by law to report to appropriate person(s) if there is reasonable suspicion tha ta child has been abused or neglected. If any member is aware of or suspects abuse taking place, they must immediately report it to a board member or to the Child Abuse and Neglect Hotline at 1.800.392.3738.

If you would like more education on what constitutes abuse or neglect, please look at the Child Abuse and Neglect portion of the following website: www.dss.mo.gov."

{Type Name Below} 15. Terms of Agreement: As a condition of membership in Heartland Homeschool Association (HHA), all member families must sign a waiver of liability and agree to hold harmless all parties connected with the operation of HHA. Member families also understand that HHA does not serve as counselor, lawyer, or social worker; does not provide legal protection or legal assistance; and is not obligated to testify regarding a member's homeschool validity, authenticity, or effectiveness to legal authorities or in court.

Hold Harmless Clause: In consideration of the risk of injury while participating in Heartland Homeschool Association activities, classes, and events (the "Activity"), and as consideration for the right to participate in the Activity, I hereby, for myself, my heirs, executors, administrators, assigns, or personal representatives, knowingly and voluntarily enter into this waiver and release of liability and hereby waive any and all rights, claims or causes of action of any kind whatsoever arising out of my participation in the Activity, and do hereby hold harmless, release, and forever discharge Heartland Homeschool Association, their teachers, board members, affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors and assigns, for any physical or psychological injury, including but not limited to illness, paralysis, death, damages, economical or emotional loss, that I may suffer as a direct result of my participation in the aforementioned Activity, including traveling to and from an event related to this Activity. I am voluntarily participating in the aforementioned Activity and I am participating in the Activity entirely at my own risk. I am aware of the risks associated with traveling to and from as well as participating in this Activity. I understand that these injuries or outcomes may arise from my own or others' negligence, conditions related to travel, or the condition of the Activity location(s). Nonetheless, I assume all related risks, both known or unknown to me, of my participation in this Activity, including travel to, from and during this Activity. I agree to indemnify and hold harmless Heartland Homeschool Association against any and all claims, suits or actions of any kind whatsoever for liability, damages, compensation or otherwise brought by me or anyone on my behalf, including attorney's fees and any related costs, if litigation arises pursuant to any claims made by me or by anyone else acting on my behalf.

In the event that I should require medical care or treatment, I agree to be financially responsible for any costs incurred as a result of such treatment.

In the event that any damage to equipment or facilities occurs as a result of my or my family's willful actions, neglect or recklessness, I acknowledge and agree to be held liable for any and all costs associated with any actions of neglect or recklessness.

We certify that both husband and wife (if applicable) have read and agree to abide by the Terms of Agreement and the Hold Harmless Clause written above and will provide a signature below. By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.
False information given on application is grounds for rejection of the application or revocation of family membership.

Payment Instructions

You will be directed to a PayPal link to pay online. Thank you so much and we look forward to meeting you!

Payment Options

$55.00 – Registration