Join Membership Enrollment Form School Name*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Is this a new membership or renewal?*NewRenewalContact Name First Last Email Choose one enrollment option:Member School within 100 mile radius of Sioux CenterMember School outside 100 mile radius of Sioux CenterNumber of Students (K-12 students only, Pre-K not included)Membership Cost Price: $0.00 Membership Cost Price: $0.00 Total $0.00 Payment Options*Pay Online with Paypal (You will be redirected to Paypal for payment after clicking "submit")Pay by CheckPlease mail a check for the amount above to: Heartland Christian Schools 498 4th Ave NE Sioux Center, IA 51250
