Request Membership

Fill out the form below and click the Continue button at the bottom.

Thank you for your interest in joining Wild Roots Collective!

Please fill in the forms below and enter all required information.

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Primary Last Name Primary First Name Primary Email Family Username
Family Password
Confirm Family Password Secondary Last Name Secondary First Name Address City State / Province Zip / Postal Code Timezone Phone Enable Text Messages

I am able and agree to receive text messages at the number above.
I understand carrier message and data rates may apply.

Phone 2 Enable Text Messages

I am able and agree to receive text messages at the number above.
I understand carrier message and data rates may apply.

Upload Family Photo (Optional) .jpg, .gif or .png

Children

Add Child

Show Child information to other Families
Note: Child information will be available to instructors in either case.

Privacy: Include my family information in the membership on-line directory? Yes No Weekly Email Update: Would you like to receive a weekly email update? Yes No

Forum Emails:

Would you like to receive forum notifications via email (not just the ones you create)? Yes No

Many Emails: Would you like to receive notifications IMMEDIATELY? Yes No

Delivery Type Whole Thread New Part Only

Daily Digest: Would you like to receive notifications ONCE A DAY? Yes No

Classifieds Emails:

Classifieds - Many Emails: Would you like to receive ALL classified notifications IMMEDIATELY via email: Yes No Classifieds - Daily Digest: Would you like to receive ALL classified notifications ONCE A DAY via email? Yes No Message to Homeschool Group Administrator: