Request Membership with SBFA

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

Please make sure to make note of the username and password that you choose during this process.

Note that Primary and Secondary refer to the parents.

Also, Forums and Classifieds are not active yet, but you will be asked about how you would like to be notified by email in the future. You can change these settings later.

If you are a new family requesting website membership and enrollment with South Bay Faith Academy, our office will review your request and contact you to complete our admissions process.

If you are a current SBFA family requesting website membership, our office will confirm your current enrollment, and then you will be granted access.

Once your website access is granted, you will receive an email from lifeline@homeschool-life.com. Please be sure to add this email address to your contacts, so that you will not miss this or any other important SBFA email.

If you have any problems filling out this form, please send an email to Melissa Closs at webmaster@sbfaithacademy.org with our name, contact information, and a detailed description of what's going wrong. Melissa will contact you as soon as possible.

Thank you!

SBFA Leadership

Check here if you have read and agree to the TERMS OF SERVICE.

indicates a required field

Primary Last Name Primary First Name Primary Email Family Username
Family Password
Confirm Family Password Secondary Last Name Secondary First Name Secondary Email If Secondary Email is entered above, should it also receive weekly email and forum notifications, etc.? Yes No Address City State / Province Zip / Postal Code Timezone Father's 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.

Mother's 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.

Home Phone

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.

Curriculum/Teaching Style Year you Started Homeschooling Family Business/Services 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

Select which forum categories you would like to be notified about:
Message to Homeschool Group Administrator:

Additional Questions

FAMILY INFORMATION

Mailing Address, If Different (not required) 1. Street Address 2. City 3. State 4. Zip Code

If both parents do not live at the same address, please list information of parent not living with child(ren). 5. Name 6. Street Address 7. City 8. State 9. Zip Code 10. Phone (Digits Only) 11. Does this parent have custodial rights regarding educational choices of the child(ren)? Yes
No
12. Is this parent informed and in agreement with homeschooling the child(ren)? Yes
No

Please provide employment information for parents below. 13. Father's Place of Employment 14. Work Hours 15. Street Address 16. City 17. State 18. Zip Code 19. Work Phone (Digits Only) 20. Mother's Place of Employment 21. Work Hours 22. Street Address 23. City 24. State 25. Zip Code 26. Work Phone (Digits Only)

HSLDA

If change in work hours prevents primary teaching parent from teaching at least 50% of the time during daylight hours, you must inform HSLDA of the changes to keep your HSLDA membership valid. Each family must maintain current membership with HSLDA, a discount is applied when you use the SBFA group membership code: 288003.. It is the family's responsibility to renew the membership at www.hslda.org. The SBFA office will verify membership of each family. 27. HSLDA#

CHURCH

28. Church Name 29. Street Address 30. City 31. Zip Code 32. Phone (Digits Only) 33. Number of Years Attended 34. Pastor's Name Are both parents regulary attending church? 35. Father
(1 required) Yes
No
N/A
36. Mother
(1 required) Yes
No
N/A

FACULTY INFORMATION

37. List Primary Teacher By Name: 38. Name / address / telephone of secondary teacher(s) or institution(s) (other than parents): 39. Will primary location of school be in the home? Yes
No
40. If no, list address of location: 41. Can you provide parental supervision for your child(ren) during “regular” school hours? Yes
No
42. Will you provide at least 50% of the homeschooling for your child(ren)? Yes
No

EMERGENCY INFORMATION

First Aid 43. May we administer first aid, including ambulance if deemed necessary? Yes
No
44. Do you authorize emergency medical personnel, hospital, or doctor to administer necessary medical treatment? Yes
No
Please provide the name, address, and phone number for the following: 45. Doctor's Name 46. Doctor's Address 47. Doctor's Phone (Digits Only) 48. Dentist's Name 49. Dentist's Address 50. Dentist's Phone (Digits Only) 51. Hospital 52. Hospital's Address 53. Hospital's Phone (Digits Only)

Medical Insurance

Please provide the following information regarding your medical insurance. 54. Insurance Company 55. Health Plan 56. Policy Number 57. Group 58. Expiration Date

Emergency Contacts (Not Parents)

59. Contact 1's Full Name 60. Relationship to Child(ren) 61. Contact 1's Phone (Digits Only) 62. Contact 2's Full Name 63. Relationship to Child(ren) 64. Contact 2's Phone (Digits Only) In the event my/our child is injured and requires medical attention. I/we give my/our approval to the person in charge of the on-campus or off-campus event to obtain whatever medical services and treatment or procedures as is necessary. The school does not pay physician fees or medical expenses for students who are injured at school sponsored activities. I/we understand that all activities, although arranged by members of the Academy, are considered independent, family activities. I/we hereby waive all claims and do further release, absolve, indemnify, and hold harmless South Bay Faith Academy, administrators, teachers, parent-sponsors of all activities (on or off campus).

I/we acknowledge that all the above information is true and accurate, and that any false information will result in disenrollment.

AUTHORIZED SIGNATURES 65. Signature of (check one) Father
Stepfather
Guardian
66. Sign (Type) Your Name 67. Signature of (check one) Mother
Stepmother
Guardian
68. Sign (Type) Your Name WHAT'S NEXT?

FIRST, click on the "UPDATE" button at the bottom of the page to save your changes to your Family Profile. You should see a pop up message confirming your changes were saved. Click "OK".
THEN, the home page will load. Click on the "Step 2: FAMILY GROUP QUESTIONNAIRE" button at the top of the home page to continue.

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