Notice of Intent Sample
Notice of Intent Sample
XXXX Public Schools that we have established and are in charge and control of a non-public home-based educational program pursuant to CRS 22-33-104.5 for the 2012-2013 school year, beginning Month XX, 2012.
(School Year) (Date)
Childs Name
Childs Age
Attendance 4hrs/day, 172 days/yr 4hrs/day, 172 days/yr 4hrs/day, 172 days/yr
All children listed above currently reside at: (Street Address Goes here) The test or evaluation results of our children will be submitted to: XXX Public School District when they are tested or evaluated upon completion of grades three, five, seven, nine, and eleven. Signatures: __________________________________ Date: _______________ __________________________________ Date: _______________