HMN Membership Registration
Be part of our growing holistic community.

Find support, information, friendship, and resources
for your parenting journey!

Feel like the only parent out there doing things "differently"? You're not!

As a member of the Holistic Moms Network, you will meet others, in real life and online, who share a passion for natural living. Our 501(c)3 organization serves to bring holistic living awareness, support, education, and resources to families throughout the United States and recognizes the amazing power of community and connection.

Please complete the form below and click the Submit button to complete your membership, paying by credit card or using a PayPal account. Registration will not be complete until payment information is entered and a notification of payment is received from PayPal. Please complete the entire process, including online payment, to obtain your HMN Membership. As membership serves as a contribution to our non-profit organization, membership fees are non-refundable. Once payment is received and processed, there will be no refunds due to Chapter closings, financial hardship, or similar circumstances. All National benefits of membership will continue regardless of affiliate Chapter status.

Click here if you're an active member and want to apply to become a Chapter Leader or Co-Leader.

Fields marked R are required.
Membership Options
Select one: New Member   Renewal
Membership Type R
This is a Gift
New Chapter Leaders/Co-Leaders ONLY ($25 One-Time Training Kit Fee)
I am interested in volunteering
First Name R
Last Name R
Primary E-mail Address R
Alternate E-mail Address
Address 1 R
Address 2
City R
State R
Other State
  Zip R
Country R
Home Phone R
Work Phone
Cell Phone
County R
Chapter R
Second Chapter Membership (Annual)   Reset
Choose one of the following and then select a second chapter.
Membership in Second HMN Chapter in addition to Chapter listed above
  OR
Membership in Second HMN Chapter, already an Active HMN member

($25/year for Individual, $30/year for Family)
Additional Donation to HMN
$
Coupon Code
 
Comments
Agreement R
I understand and agree to the terms of HMN's non-solicitation/non-marketing policy. As a member I am not using my membership to sell any product or service to other members or to help any individual build their business through the HMN community. If I violate this policy for the sake of business promotion or sales I will forfeit my membership.
Please take a moment to tell us about yourself, so we can better tailor our Holistic Moms Network programs to suit your needs.
Your Age R


Your Gender R


Number of Children R


Practitioner? R


If Yes, Profession


Other Profession
Which activities are you involved with?
(Check all that apply)
Meetings
Playgroups
Email Loop
Annual Conference
Outings
Support Network
Co-op
Fundraising
Other:
How old are your children?
(Check all that apply)
No Children
Newborn - 2
3 - 5
6 - 10
11 - 18
Over 18
When do you attend meetings?
(Check all that apply)
Daytime
Evening
Weekdays
Weekends
What are your areas of interest?
(Check all that apply)
Healthy Eating/Organic Food
Alternative Health
Breastfeeding
Natural Childbirth
Stress Reduction/Exercise
Vaccination
Holistic Education
Environment
Sleep Issues
Attachment Parenting
Fighting Consumerism
Spirituality
Parenting Multiples
Political Activism
Other:
How did you hear about HMN?
(Check all that apply)
Email/Evite
Flyer
Internet Search
Member Referral/Word of Mouth
Facebook
Mailer
News/Media
E Magazine
Organic Spa
Brain Child
Mercola.com
Holistic Practitioner
Twitter
Other: