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Registration & Information Update Form

Thank you for registering for HBA's Homeschool Support program. Families who wish to pay their fees by check may download the following forms and mail payment to our office.

Questions? Email HomeschoolSupport@hba.net or call (808) 595-6303.

*Our limited enrollment for the 2015 PSAT has been filled.

The following services can be paid for prior to or at the time of event:​​​​​
Individual services are available for non-members at the rates below. The following can be paid for prior to or at the time of the event.​​
(if not USA)
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Student(s) Information

1st Student
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2nd Student
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3rd Student
###-###-####​​
Check all that apply. ​​
I agree and consent that the use of a key pad, mouse or other device to select an item, button, icon, checkbox, to enter text, or to perform a similar act/action (e.g., by clicking “Submit”) constitutes my electronic signature and signifies my intent to be bound. I understand that my electronic signature is legally binding, just as if I manually signed a paper document in ink.​​

Contact

Lora Burbage
Email: llburbage@yahoo.com

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