HASCA ONLINE MEMBERSHIP FORM
THANK YOU FOR CHOOSING TO SUPPORT HASCA VIA MEMBERSHIP
Membership *
Are you a new member or a returning member?
Required
Full Name of Parent / Guardian *
Your answer
Residential Address (incl. postcode) *
Your answer
Occupation *
Your answer
Telephone No. *
Your answer
Mobile No.
Your answer
Email Address *
Your answer
Children (full name, gender, DOB) *
New members please complete. Returning members, update if details have changed. Thank you.
Your answer
12-Month HASCA Family Membership is $20.00 (01 January - 31 December) *
Please pay your membership subs to HASCA (ASB) 123 050 - 0416454 - 00. Reference 'membership' and your surname.
Required
What date did you pay your membership subs? *
Help us to track your payment by advising the date you paid, thank you.
MM
/
DD
/
YYYY
Homeschool Library Membership *
HASCA 12-Month Membership includes FREE access to the Homeschool Library which is full of wonderful resources. The Homeschool Library is managed by HASCA and conveniently located at North Shore YMCA (Northcote) where many of our programmes or weekly activities are held. See HASCA website for library hours and other information.
Required
How can we help you and your family?
My family would like to know more information about the following … (or visit www.hascaNZ.org 'What's On?!')
Would you like to share any other information with us? Or perhaps ask a question?
If you are new to homeschooling, tell us. If you have questions, ask. We'd love the opportunity to offer our support by sharing some contacts and helpful information with you!
Your answer
I have read and agree to the Objectives of Homeschool Auckland Sports & Cultural Association Incorporated. *
HASCA Objectives: * To administer members’ entry into the secondary school and other age group, competitions, leagues, and activities, necessary for sports, education, and cultural events. * To facilitate and encourage the maximum participation of home educating families in arts, sporting and cultural events, activities and programmes. * To promote public awareness of the benefits of members’ involvement in sport, education, and other cultural events.
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.