Who will be signing this letter? Who will be signing this letter? One parent/guardianBoth parents/guardians Parent/Guardian Name: Parent/Guardian Name: How many children will be homeschooled? Select12345678910Child(ren) Note: If you are concerned about the security of this information, you may skip this page to enter later. Child's Information Name: Gender: Gender: MaleFemale Date of Birth: 2nd Child's Information Name: Gender: Gender: MaleFemale Date of Birth: 3rd Child's Information Name: Gender: Gender: MaleFemale Date of Birth: 4th Child's Information Name: Gender: Gender: MaleFemale Date of Birth: 5th Child's Information Name: Gender: Gender: MaleFemale Date of Birth: 6th Child's Information Name: Gender: Gender: MaleFemale Date of Birth: 7th Child's Information Name: Gender: Gender: MaleFemale Date of Birth: 8th Child's Information Name: Gender: Gender: MaleFemale Date of Birth: 9th Child's Information Name: Gender: Gender: MaleFemale Date of Birth: 10th Child's Information Name: Gender: Gender: MaleFemale Date of Birth: At what address do the parents and child(ren) currently live? Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code Will the child(ren) be taught at their home address? Will the child(ren) be taught at their home address? YesNo Address where the child(ren) will be educated: Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code Who will be teaching the child(ren)? Who will be teaching the child(ren)? The parent(s)A separate teacher Teacher's Name: I understand that this letter must be signed by the teacher. I understand that this letter must be signed by the teacher. I understand. What is the name of your local school district? Find Your School DistrictIf you do not know the name of the school district, leave this box blank for now and a blank line will be added to the letter to be filled in later. Would you like to include the parent's contact information at this time? Would you like to include the parent's contact information at this time? YesNo Parent's Email: Parent's Phone Number: 2nd Parent's Email: 2nd Parent's Phone Number: Do you want to include a section to be completed by a Public Notary? Do you want to include a section to be completed by a Public Notary? Yes (recommended)No What is the date of this letter? Next Save Save and finish later
