Policy / Program Memorandum Form

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Policy/Program
Ministry of Education
Memorandum
No.
131
Appendix B: Sample Letter Indicating Notification of Intent to Provide Home Schooling
To the
(District) School Board:
I/We herewith provide the names, gender, and date of birth for each child of compulsory school age for whom I/we
intend to provide home schooling.
First and Last Names
Gender
Date of Birth
Name of parent/guardian:
Home address:
Mailing address (if different from home address):
Telephone:
I/We wish to notify the
(District) School Board that I/we will be
providing home schooling for our child(ren) starting in
I/we understand our
responsibility under the Education Act to provide satisfactory instruction for our school-age child(ren) and do
hereby declare our intent to do so.
Signature of parent/guardian:
Date:

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