Verification Of Homeschool Registration Form printable pdf download

Florida High School Athletic Association

EL7V

Verification of Student Registration with

Public School District Home Education Office

2016-17 Edition

Section A of this form must be completed by student’s parent/legal guardian. Section B must be completed by the School

District Home Education Office Coordinator and the completed form must be presented to the school at which the student

wishes to participate. This form must be completed each year.

Address questions to .

Section A: To Be Completed By the Parent/Legal Guardian

(please print)

TO:

Florida High School Athletic Association Office of Eligibility and Compliance Services

FROM:

________________________ County School District Home Education Office

DATE:

_____________________________, 20______

RE:

Student {student’s full name} ______________________________________________

Student’s Date of Birth {mm/dd/yy} _____/_____/_____

Home Address ____________________________________________________________________________

Street Address

City Zip Code

Daytime Telephone Number (____) __________________________________

Student wishes to participate at {name of school} ______________________________________________________

Section B: To Be Completed By the School District Home Education Office Staff

Our records reflect that this student has been registered with the Home Education Office in this school district since:

{original date of registration} _______________________, 20______

This student’s annual evaluations have been submitted in accordance with applicable statutes and guidelines and he/she remains on

active status:

[ ____ Yes][ ____ No] Date: _______________________, 20______

This student is a new Home Education student, the date of his/her annual elvaluation will be:__________________, 20______

If you have questions or need additional information concerning this matter,

please call the School District Home Education Office at:

FOR DISTRICT OFFICE USE ONLY

{telephone number} ( ________ ) ________________________

______________________________________________ / _____________

Signature of District Home Education Coordinator

Date

_____________________________________________________________

Printed Name of District Home Education Coordinator

Verification Of Homeschool Registration Form