Homeschool registration form
Surname: *
Parent/Guardian Name/s:
Street: *
Suburb: *
Town/City: *
Phone: * Mobile 
E-Mail: *
Child's NameDate Of BirthSex
1MF
2MF
3MF
4MF
5MF
6MF
7MF
8MF
9MF
 
 
Term 1 Subscription $20.00 for the year.
Term 2 Subscription $15.00 for the year.
Term 3 Subscription $10.00 for the year.
Term 4 Subscription $5.00 for the year.

Please pay by cheque or by Internet Banking into ASB a/c 12 3099 0604931 00.
Post cheque to:
Whangarei Home Educators Support Group
P.O.Box 8110
Kensington
Whangarei


Please include YOUR NAME+REGISTRATION as a reference.
Amount paid $ * 
   via Internet banking on date
* = required
 
Please note: Thank you for visiting our site. We provide links to Web pages that are not part of the Whangarei Home Educators Support Group. These sites are managed by organizations, companies, or individuals outside of our control, and we do not necessarily endorse the information or links you may find there.
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