Registration Form

If you would prefer to fill out a document version of this registration form you can print the printable version of the registration form or we would be happy to post one to you. If for whatever reason you are worried that we have not received your registration, feel free to email or telephone us. After registering you should receive an email from us within a few days if you give us your email address.

We will activate your account as soon as we receive the $130 Initial Registration Fee plus $41 for each set of Diagnostic Tests. Alternatively, for students who are already reading, you could pay $16.25 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 $164 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.

In the first section of this form, please fill in the details for the person or persons who are responsible for the education of the child or children you are registering with us. We expect this person to be the one to fill in this form. In most cases this is the parents, even in the case where a tutor is hired.

Family Surname
Father's Name	Title (Mr, Dr, etc): Name:
Mother's 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?
Have you got a homeschooling exemption?
Would you prefer us to post you diagnostic tests ($41 per child) or do them online ($16.25 per child)?
If you have more than 4 children you will have to fill out this form twice. If you have less than 4 childen, just fill in the spaces in the child section you need and leave the spaces available for other children blank.

Name of 1st Child
Gender of 1st Child
Birth Date of 1st Child
Age of 1st Child
School Grade of 1st Child
Has this child completed Diagnostic Tests?
Where has your child been attending?
Comments about child, i.e. learning disabilities.

Name of 2nd Child
Gender of 2nd Child
Birth Date of 2nd Child
Age of 2nd Child
School Grade of 2nd Child
Has this child completed Diagnostic Tests?
Where has your child been attending?
Comments about child, i.e. learning disabilities.

Name of 3rd Child
Gender of 1st Child
Birth Date of 3rd Child
Age of 3rd Child
School Grade of 3rd Child
Has this child completed Diagnostic Tests?
Where has your child been attending?
Comments about child, i.e. learning disabilities.

Name of 4th Child
Gender of 1st Child
Birth Date of 4th Child
Age of 4th Child
School Grade of 4th Child
Has this child completed Diagnostic Tests?
Where has your child been attending?
Comments about child, i.e. learning disabilities.

Further information available upon request. Our contact details are on the contact page.