Hudson Falls Central School District - Letter of Intent to Homeschool (LOI) Form - 2024-2025
The WSWHE BOCES provides a Home Education Coordination Service to the your school district to facilitate the collection and review of forms related to Commissioner's Regulations Part 100.10  If you have questions about any aspects of the home schooling process, please contact homeschool@wswheboces.org or call 518-581-3735.  Additional forms and information can also be accessed on the WSWHE BOCES Home Education Coordination Support Website.
Sign in to Google to save your progress. Learn more
Email *
Parent/Guardian Name *
Street Address  *
City *
Zip Code  *
Your Phone Number (numbers only) *
District Homeschooling Status 
Please indicate whether you are a returning homeschool family in this district or whether this is your first time reporting as homeschoolers in this district
*
Please use the fields below to list the child or children you are intending to homeschool.  Please include each child's full name, date of birth and anticipated grade level.  

Child #1 First and Last Name 
*
Child #1 Date of Birth *
MM
/
DD
/
YYYY
Child #1 Grade Level (upcoming school year) *
Child #2 First and Last Name
Child #2 Date of Birth
MM
/
DD
/
YYYY
Child #2 Grade Level (upcoming school year)
Child #3 First and Last Name 
Child #3 Date of Birth
MM
/
DD
/
YYYY
Child #3 Grade Level (upcoming school year)
Child #4 First and Last Name 
Child #4 Date of Birth
MM
/
DD
/
YYYY
Child #4 Grade Level (upcoming school year)
Child #5 First and Last Name 
(For additional children, please submit an additional response.  Thank you.)
Child #5 Date of Birth
MM
/
DD
/
YYYY
Child #5 Grade Level (upcoming school year)
AFFIRMATION
By entering my name in the box below, I am affirming my intention to provide home education for the 2024-2025 School Year to the student(s) listed in the table above, as per the education requirements of New York State Education Law as stated in Commissioners Regulations Part 100.10  (Please use the link above to access a copy of these regulations)
*
DATE OF AFFIRMATION *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of WSWHE BOCES. Report Abuse