Membership Registration

Please fill out the registration form below to become a member of ICARE. You will be directed to make a payment via Paypal upon completion of this form.

* Indicates required field

Father's Name *

First

Last

Facebook Name (dad) *

Mother's Name *

First

Last

Facebook Name (mom) *

Children's Names & Birthdates *

Family Interests/Extracurricular Activities *

Email *

Main Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Alternate Phone Number *

Name of Church/Denomination *

Homeschooling since the year... *

Name of Homeschool *

Member of ICARE since the year... *

The above information will be placed in the Membership Directory listing the families of ICARE. This directory will only be seen by paid registered members of ICARE and always has been a great resource to the members of ICARE. Contact the Membership Coordinator if you would like your information omitted from the Directory.

By clicking "Submit", you are ready to submit your registration information above, have read and agree to the TERMS OF MEMBERSHIP, and are ready to continue the registration process.

Submit