Letter of Intent
___________________(Date)

Subject: Notice of INTENT to Establish a Home Education Program
To Whom It May Concern,
In compliance with section 1002.41(1)(a), Florida Statute, this serves as written notice of our intent to home educate our child(ren). Please refer to the following for the information required by this law.
Child’s Name Birth date
______________________________ _______________
______________________________ _______________
______________________________ _______________
______________________________ _______________
Home Address:___________________________________________________________
Sincerely,
Parent’s Signature_______________________________________________
Parent’s Name- Please print__________________________________________