Homeschooler Registration: Primary Guardian Information

Primary Guardian Information
Page 1

Step 1: Family
1.	Primary Guardian
2.	Secondary Guardian
3.	Preview
4.	Submit Information
Step 2: Student
1.	Student Information
2.	Education: Current
3.	Education: History
4.	Privacy Information
5.	Preview Application
6.	Submit Application

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Primary Guardian Information

First Name^†

What is the primary guardian's first name?

Last Name^†

What is the primary guardian's last name?

Occupation^†

What is the primary guardian's occupation?

Phone Number^†

Please use the format: ### ###-####

What is the primary guardian's first name?What is the primary guardian's last name?What is the primary guardian's occupation?What is the primary guardian's home phone number? (### ###-####)?

What is the primary guardian's home phone number? (### ###-####)?

Fax Number:

Please use the format: ### ###-####

What is the primary guardian's fax number? (### ###-####)?

E-Mail Address^†

What is the primary guardian's first name?What is the primary guardian's last name?What is the primary guardian's occupation?What is the primary guardian's home phone number? (### ###-####)?What is the primary guardian's fax number? (### ###-####)?What is the primary guardian's e-mail address?

What is the primary guardian's e-mail address?

Home Address

Street Address^†

What is the street address of the primary guardian?

City^†

Province/State^†

Postal/ZIP Code^†

Country^†

Mailing Address

Street Address^†

What is the mailing address of the primary guardian?

City^†

Province/State^†

Postal/ZIP Code^†

Country^†

^†Symbol marks required fields