Join HSC Form

1191 Magnolia Ave Suite D-322
Corona, CA  92879
Toll Free: (888) 472-4440
Member Information

Name: ___________________________________________________________________________

Institution Name: _________________________________________________________________

Street Address: ___________________________________________________________________

City, State, Zip: ___________________________________________________________________

County: __________________________________________________________________________

Phone: ___________________________________________________________________________

Email: ____________________________________________________________________________

New Membership or Renewal? (Circle One)

Membership Rates (check one):

______  $30 for a one-year Family Membership

______   $55 for a two-year Family Membership

______   $75 for a three-year Family Membership

I would like to make a donation to HSC of $________________.

Total Payment is $________ (membership/renewal plus donation)
Please make check payable to: Homeschool Association of California

_____  I would like information on becoming an HSC County Contact.

_____  I am interested in volunteering for HSC.
              My areas of interest are: ______________________________________________

Mail to:  Homeschool Assn. of California, 1191 Magnolia Ave, Suite D-322, Corona, CA  92879 
HSC does not share its members' email addresses with anyone.  We only use your email address to contact you with HSC-related questions, activities, or information

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