The Homework House Homeschool Hub
Membership registration form
Sign in to Google to save your progress. Learn more
Email *
Membership for The Homework House Homeschool Hub 
  1. Family membership is $250.00 annually. Payment can be monthly of $25.00
  2.  Access to The Homework House M-F 9am -2pm
  3. Access to Imhotep STEAM Lab (Art and Science Exp for inclement weather)
  4. Access to 5 gardens and parks
  5. Access Recreational space and supplies
  6. Access to Theater with outdoor classroom
  7. Access to free wifi and computer
  8. Access to Library
  9. Access to art science and school supplies 
  10. Group field trips
Parent's name
students names
students address
parents email
parents phone number
Emergency Contact
Emergency address
emergency phone number
Emergency email
2nd emergency address
2nd emergency phone
2nd emergency email
Medical information for each child doctor name address phone 
Why do you want to be a part of the Homeschool Hub?
How did you find out about the H-4?
Payment Process:  monthly $25 annual $250
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of The Avalon Village, Inc. Report Abuse