Become a Part of Our community

While you are welcome to the information on this site, and a call should you need one, we highly recommend joining our community in order to get the most support we can offer. Here are our membership options, be sure to fill out our application below.

Application for Membership

Please fill out all areas and click the button at the bottom to submit your application.

Memberships are not active until payment has been made, you will be contacted on how to pay once your application has been received.

Name(s)

Phone

Mailing Address

City, State, Zip

Child(ren)’s Name(s) and Birthday(s)

Type of Hearing Loss

Communication Mode

Technology in Use (if any)

School(s) or Programs Enrolled in (if applicable)

What kind of membership applies to you? (Choose One)

Family $20

Student $15

Professional $30

What language would you prefer to receive the newsletter? (Choose One)

English-earliest arrival with pictures and links

En Español-allow extra time for translation