Homeschool Dad Media Registration
Thank you for choosing to register as a member of Homeschool Dad Media (HDM). We look forward to working with you to help encourage fellow fathers and husbands who help homeschool.
First Name *
Your answer
Last Name *
Your answer
Zip Code *
Please include the zip code in which you live. This will help us better serve you.
Your answer
What has you joining HDM? *
Are you joining HDM as a blogger, podcaster, or other new media specialist?
What is our blog/podcast/media website address? *
Please include your website URL below. If you do not have a website, please put "N/A"
Your answer
Please read and agree to the Statement of Faith and Code of Ethics from The International Association for Creation. *
The International Association for Creation is the professional organization that HDM is a member of to help provide comprehensive benefits to our bloggers, podcasters, and new media specialists. Before joining HDM, you will need to read and agree to the following: Statement of Faith ( and Code of Ethics (
Contact E-Mail *
We may need to get in touch with you.
Your answer
HDM E-Newsletter
Join our HDM E-Newsletter today!
Please briefly describe your involvement with homeschooling in a few sentences. *
Your answer
HDM Referral *
How did you find out about Homeschool Dad Media?
Your answer
HDM Application Agreement. *
By submitting this application, I agree to allow HDM staff to contact me if necessitated by my submission. Additionally, I agree that my application will be reviewed by HDM staff for approval and my details kept on record.
Electronic Signature *
Below, please type your full name, as it appears on your driver's license or government-issued identification card. This will serve as your signature, certifying that the above is accurate and true.
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service