Teacher Photo ID

Teacher/Home Educator Photo ID Card

Note: this form accepts credit card payments only.

Teacher Photo ID Information

Name as it will appear on card:

Name of your Homeschool:**

**For example, Smith Homeschool Academy. No more than 30 characters including spaces.

City (as it will appear on card)

Province:

Language on Card

EnglishFrench

*Street addresses are not printed on Teacher ID Cards. If required, please provide details in "Notes" section.

Photo Upload

Photo of the Teacher/Home Educator

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

Payment Information

Are you a member of HSLDA Canada?

Yes

HSLDA Members

HLSDA Member Number

Cost - $15 per card. Valid for one school year

Number of cards ordered:

Number of Teacher ID cards 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

Number of cards ordered:

Number of Teacher ID cards ordered

Total Cost $

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 $

Name on Credit Card

Card Number

Code

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.

Address:

City:

Province:

Postal Code:

Phone:

Note: merchant name on credit card statement will be Canadian Centre for Home Education (CCHE)

Notes

*By submitting this form, I certify that the information provided above is accurate and complete to the best of my ability.

Contact Information