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

Mother's Name *

First

Last

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 *

Facebook Name *

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

Submit