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
*
Votre réponse
Child #1 Date of Birth *
JJ
/
MM
/
YYYY
Child #1 Grade Level (upcoming school year) *
Sélectionner
Kindergarten (Please note: IHIP and Quarterly reports are optional for Kindergarten)
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Child #2 First and Last Name
Votre réponse
Child #2 Date of Birth
JJ
/
MM
/
YYYY
Child #2 Grade Level (upcoming school year)
Sélectionner
Kindergarten (Please note: IHIP and Quarterly reports are optional for Kindergarten)
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Child #3 First and Last Name
Votre réponse
Child #3 Date of Birth
JJ
/
MM
/
YYYY
Child #3 Grade Level (upcoming school year)
Sélectionner
Kindergarten (Please note: IHIP and Quarterly reports are optional for Kindergarten)
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Child #4 First and Last Name
Votre réponse
Child #4 Date of Birth
JJ
/
MM
/
YYYY
Child #4 Grade Level (upcoming school year)
Sélectionner
Kindergarten (Please note: IHIP and Quarterly reports are optional for Kindergarten)
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Child #5 First and Last Name
(For additional children, please submit an additional response. Thank you.)
Votre réponse
Child #5 Date of Birth
JJ
/
MM
/
YYYY
Child #5 Grade Level (upcoming school year)
Sélectionner
Kindergarten (Please note: IHIP and Quarterly reports are optional for Kindergarten)
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
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)
*
Votre réponse
DATE OF AFFIRMATION *
JJ
/
MM
/
YYYY
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