Registration Form

We will activate your account as soon as we receive the $140 Initial Registration Fee plus $30 for each set of Diagnostic Tests. Alternatively, for students who are already reading, you could pay $7.50 per student for the Maths Diagnostic Test and do the rest of the tests online. This Initial Registration Fee does not cover PACEs which you order from SCEE and there are 6-monthly Family Affiliation Fees of $160 in order to continue accessing my services. If you are sending us a cheque please make the cheque out to Home Education NZ and include a note that includes your family name and first names.
Family Surname __________________________________
Father's First Name Title (Mr, Dr, etc): ____________

Name: __________________________

Mother's First Name
Title: ____________

Name: __________________________

Address __________________________________

__________________________________

Postal Code __________________________________
Home Phone Number __________________________________
Work Phone Number __________________________________
Fax Number __________________________________
E-mail address __________________________________
Has the person who will will supervise completed the A.C.E. training? Yes / No
Have you got a homeschooling exemption? Yes / No / On the way
Would you prefer us to post you diagnostic tests ($30 per child) or do them online ($7.50 per child)? Post tests / Online / Children have done diagnostic tests
If you have more than one child photocopy this form to fill it in for your other children.
Name of Child __________________________________
Gender of Child Male / Female
Birth Date of Child ______/_____/______
Age of Child __________________________________
School Grade of Child __________________________________
Has this child completed Diagnostic Tests? Yes / No
Where has your child been attending? State School / Christian School / Homeschool / Not started School
Comments about child, i.e. learning disabilities, reading yet (if 6 or younger). __________________________________

__________________________________

__________________________________

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