Interested Family Sign Up - HEARTS for Jesus Christ

If you just have a general question you can check our FAQ to get answers to commonly asked questions or use the Contact Us page

Family Last Name

Dad's First Name

Mom's First Name

Email Address

Phone Number

Cell Phone Number

Street Address

City

State

Zip Code

Church Fellowship

List the ages of the children you are homeschooling

How many years have you been homeschooling?

If your children are enrolled in an on-line school in which they complete their school assignments at home under dual-enrollment, please indicate the name of the school:

Please indicate specific names of HEARTS members you know for reference. If you do not know individuals in HEARTS, please indicate how you found out about HEARTS

If your family is interested in participating in fall sports (soccer, volleyball or cross country) Please indicate sport / student's age / experience

My Family would like information about participating in (check all that apply):

HEARTS classes (academic, art, music and phys ed classes)

HEARTS Athletic program and teams

Participation in ACSI activities and events through HEARTS

Additional Questions or Comments