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Hertfordshire County Council

Elective Home Education (EHE) On Roll Notification Form

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Child's first name *

 

Child's last name *

 

Child's date of birth *

   DD/MM/YYYY 
 
 

Child's sex on birth certificate *

 

Child's gender (if different from above) and preferred pronouns

 
Child's address

House number/name: *

 

Address line 1 *

 

Address line 2

 

Town *

 

Postcode *

 

Parent/Guardian details:

Title *

 

First name *

 

Last name *

 

Relationship to child *

 

Phone *

 

Email *

 

Does this person have parental responsibility? *

 
Address if different to child

House number/name

 

Address line 1

 

Address line 2

 

Town

 

Postcode

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