Homeschool Dad Media Contributor Request
Thank you for choosing to Homeschool Dad Media (HDM) for your event. We look forward to working with you to help encourage fellow fathers and husbands who homeschool.
First Name *
Your answer
Last Name *
Your answer
Name of Business/Ministry *
Please include the name of the business/ministry requesting an HDM Contributor.
Your answer
Contact E-Mail *
We may need to get in touch with you.
Your answer
What is your business/ministry website? *
Please include your website URL below. If you do not have a website, please put "N/A"
Your answer
Zip Code of Event Location *
Please include the zip code in which your event will be located. This will help us better serve you.
Your answer
Is this an event or newsworthy story? *
Please briefly describe your upcoming event or newsworthy story in a few sentences. *
Your answer
HDM E-Newsletter
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HDM Referral *
How did you find out about Homeschool Dad Media?
Your answer
HDM Request Acknowledgement. *
By submitting this request, 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.
Required
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
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