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The Legacy Homeschool Alliance.

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First Name *

Last Name *

Email *

Phone *

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please fill out the form before your Membership Application

Primary Contact - First Name *

Primary Contact - Last Name *

Primary Contact - Relationship *

Primary Contact - Phone *

Primary Contact - Email *

Secondary Contact First Name *

Secondary Contact Last Name *

Secondary Contact - Relationship *

Secondary Contact - Phone Number

Students' Names and Grades *

Do you agree with the terms of our member handbook? *

Yes

Handbook link

Have you toured with us before? If so, when?

Which semester and year are you planning to join Legacy? *

Fall 2025

Spring 2026

How did you hear about Legacy? *

Tell us about your past schooling experience. Please list the last two school or co-op programs you participated in and provide a reference for each that we may contact. *

Why are you leaving your current education program? Are you leaving in good standing? Please provide any prior disciplinary action we should be aware of. *

What are your family values and why? *

What church do you attend? *

Any additional requests or information you’d like to share with us? *

Date Submitted: *

I Consent to Receive Notifications, Alerts & Occasional Marketing Communication from Legacy Alliance. You can reply STOP to unsubscribe at any time.