Notice of Termination of a Home Education Program
Notice of Termination
of a
Home Education Program
Date: _______________________________________
To the Superintendent of __________________________________ School District
This is to inform you that effective _______________________________, the home education program
date
previously established for the below named child(ren) has been/will be terminated.
Child¡¯s Name: _____________________________________________ Date of Birth: ______________
Child¡¯s Name: _____________________________________________ Date of Birth: ______________
Child¡¯s Name: _____________________________________________ Date of Birth: ______________
Child¡¯s Name: _____________________________________________ Date of Birth: ______________
These children reside at:
Street ____________________________________________________________________________
City: ________________________________________________, FL
Zip: ____________________
Sincerely,
__________________________________________________
Parent/Guardian signature
___________________________________________________
Printed name
Keep a copy for your records
Mail (return receipt requested) to your school district within 30 days of terminating your program.
................
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