This form allows you to register as a 2021-2022 HOSA MEMBER and PAY your membership fee. 

Membership year is from August 1, 2021 – July 31, 2022

Your submitted form will be DELETED for non-payment if your $21 membership payment (membership & non refundable processing fee) is not made at the same

time you submit your form. 

If you have any questions/problems with the form, please contact: Amanda Wilson,