I'm interested in joining

indicates a required answer

1. 

Name (First & Last name):
2. *

Email:
3. *

Phone Number:
4. *

Church Affiliation:
5. *

How did you hear about us?  Please list the persons name.
6. *

Number and Age of Children:
7. *

Are you currently homeschooling or interested in homeschooling?

If yes, tell us a bit about your journey.
8. *

Have you been a part of any homeschool community in the past?

If yes, tell us a bit about your journey.
9. 

What makes you interested in joining a christian community?
10. 

What information are you interested in receiving from us?
11. *

Would you like to set up a 30 minute phone consultation to help get your questions answered?

 (1 required)
Yes No
12. *

I have reviewed and align with the Doctrinal Statemetn of the Heartland Christian Co-op.

 (1 required)
Yes No
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