• info@myozarkhomestead.com

Application

Membership Application

Please complete all the requested fields on this form prior to submitting it for membership.  Upon submission of information and payment of $25.00, we will run a criminal background check and then contact you to set up a date for you to visit the Ozark Homestead.  Please be patient because there are quite a few people interested in joining and everyone deserves the time they need to make the right decision.


Enter XXXXXXXXXX No dashes or ()


SingleMarriedDivorced


Separated by commas


Separated by commas (Remember to submit an application for each adult over 18)

Upon signing this Membership Application, I authorize the disclosure and release of information requested by the Homestead for investigating my suitability for membership, including without limitation, my credit history and law enforcement records, and shall hold the Homestead harmless from any and all such acts. I further authorize any persons or entities set forth in this statement to furnish all information requested by the Homestead.

Membership is contingent upon approval by the Homestead, which approval shall be at its discretion.

I understand that my participation and/or involvement in My Ozark Homestead carries with it the potential for certain risks, some of which may not be reasonably foreseeable. I further acknowledge that these risks could cause me, or others around me, harm, including, but not limited to, bodily injury, damage to property, emotional distress, or death. I am a willing participant in My Ozark Homestead.

By signing this agreement, I additionally agree to release, indemnify, and hold harmless My Ozark Homestead, as well as all their/its employees, agents, representatives, successors, etc. from all losses, claims, theft, demands, liabilities, causes of action, or expenses, known or unknown, arising out of my participation in, attendance at, and/or activities etc.


I attest that I have read and understand the above Application Agreement and payment of $25.00 per adult

*  Applications can not be processed without completed payment *
After clicking “Make Payment” you will be directed to PayPal for payment processing
There will also be an option to pay with debit or credit card if you do not have PayPal
Click here if you submitted an application and experienced technical difficulties while processing your payment.