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:
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
*Street addresses are not printed on Teacher ID Cards. If required, please provide details in "Notes" section. Card dates will reflect the
current school year
, changing to the new school year after May 1st.
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
No
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
MM
YY
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:
Please select...
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
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.
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Contact Information