North Suburban Home Learners

"Education is not the filling of a pail, but the lighting of a fire!" -Yeats

Membership Form

Please print this form, fill out and mail to the address provided you via email by our treasurer, Dani Duviste @  nshltreasurer@gmail.com.

This information will only be shared with NSHL homeschooling members  in our private directory.

Membership dues are $15.00 annually, September 1st through August 31st

Should you join after December dues are prorated:  January to April = $10   or May to August = $5

Make check payable to NSHL Dues:

 

New Member ?    ______                         Returning Member ?  ______

Parent / Guardian Name: ____________________________________

Parent / Guardian Name:_____________________________________

Email Address:  (print carefully please)

________________________________________________________

Home Address: ____________________________________________

________________________________________________________

Phone #: __________________________________________________

 

Child's Name: ___________________________  D.O.B. _____________

Child's Name: ____________________________ D.O.B. _____________

Child's Name: ____________________________ D.O.B. ______________

Child's Name: ____________________________ D.O.B. ______________