Student Photo ID
Student Photo ID Card
Note: this form accepts credit card payments only.
Student Photo ID Information
Name as it will appear on card:
Grade for the school year:*
*For example, when ordering after May 1, 2022, the grade of the student for the 2022-2023 school year.
Card dates will reflect the current school year
. Cards for next school year can be purchased after May 1st.
Name of your Homeschool:**
**For example, Smith Homeschool Academy. No more than 30 characters including spaces.
City (as it will appear on card):
Province:
Please select...
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Language on Card:
English
French
To add a street address to the Student ID card, please provide details in the Notes section below. (Optional)
Photo Upload
Photo of the student *NOTE: FILE NAME
MUST
INCLUDE STUDENT'S FIRST NAME*
Jpeg format
Photos must be clear, sharp and in focus
Photos should show a full front view of the face and top of shoulders
Hats or sunglasses are not recommended
No smaller than 2"x2"
Portrait Orientation
High/Original resolution
Household Information
Parent/Guardian Name:
Address:
City:
Province:
Please select...
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code:
Phone:
E-mail:
By providing your e-mail addresses, please note that this will become the primary means of contacting you in regards to your order.
PAYMENT INFORMATION
Are you a member of HSLDA Canada?
Yes
No
HSLDA MEMBERS
HSLDA Member Number:
Cost
- $15 per card. Valid for one school year.
Total number of cards:
Number of Student ID Cards being ordered
Total Cost $
Amount to be charged to your credit card (Number of cards x $15)
NON-HSLDA MEMBERS
Cost -
$20 per card. Valid for one school year.
Total Number of cards:
Number of Student Cards ordered
Total Amount $
Amount to be charged to your credit card (Number of cards x $20)
*Non-HSLDA members must provide proof of homeschooling such as a copy of your provincial or territorial registration/notification or a letter from your homeschool support group president/chairperson.
Payment Information
Total Amount to be charged to your credit card $
Name on Credit Card
Card Number
MM
YY
Code
Card Holder E-mail
Note: merchant name on credit card statement will be Canadian Centre for Home Education (CCHE)
Notes
Signature of Parent or Guardian
*By submitting this form, I certify that the information provided above is accurate and complete to the best of my ability.
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Contact Information