Homeschool Shanghai

Introduction Form

Please complete this from and return to us at: salt@homeschoolshanghai.com.  You will be contacted as so as possible by our Co-ordinator/Administrator regarding your application.

Introduction Form:

Country of Origin:  __________________________________________________________

Parents’ names:           Given                                      Surname

___________________________________________________________________________

Children(s) name:  Given Name           Gender/age/grade           Date of Birth (dd/mm/yyyy)

__________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Contact details:

Address   __________________________________________________________________

Email ______________________________________________________________________

Phone Number _____________________ (Home) ____________________________ (Mobile)

Emergency contact:  (Name and Number) _________________________________________

Christian denomination: ______________________________________________________

Number of years homeschooling _________ Curriculum used (if any) ____________________

Reason for homeschooling ______________________________________________________

___________________________________________________________________________

How did you hear about SALT/SAINTS? __________________________________________

We have read and understood this document and are in full agreement with the principles and vision of SALT/SAINTS.

Signature:          Father: ____________________   Mother: ______________________

Date:  ____________________

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