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HGBG Home Education Notification Form - Exhibit 1

1.  Persons to Receive the Home Schooling Program

First Child: Name:
  Birthdate:
  Sex: Male Female
  Citizenship:
 

(If not a Canadian Citizen, state the type of Visa and expiry date.)

Second Child: Name:
  Birthdate:
  Sex: Male Female
  Citizenship:
 

(If not a Canadian Citizen, state the type of Visa and expiry date.)

 

2.  Persons Responsible for the Home Schooling Program

Name:

Address:

Phone:

Educational Qualifications:

Indicate the amount of time an adult will be available for instruction:

3.  Program of Studies

Indicate the program of studies you intend to follow:

 

 

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