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Home School Weekly Eligibility Report
The home school supervisor must submit this form each Thursday by 3:00 PM during the duration of each child's enrollment in the requested activities/courses.
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* Indicates required question
Email
*
Your email
Student's name (Last name, First name)
*
Your answer
Home school supervisor's name (Last name, First name)
*
Your answer
Please select the building your home school student would attend if he or she enrolled in our school buildings
*
Kenneth Butz Elementary School (Grades K-4)
Lower Nazareth Elementary School (Grades K-4)
Shafer Elementary School (Grades K-4)
Nazareth Area Intermediate School (Grades 5-6)
Nazareth Area Middle School (Grades 7-8)
Nazareth Area High School (Grades 9-12)
List all activities and/or sports for which you are submitting this weekly eligibility form
*
Your answer
Reporting on the week of:
(Monday date - Friday date, e.g. 4/17/23 - 4/21/23)
*
Your answer
Participation verification
Please select the option reflecting your student's participation.
*
Student has participated in a full, normally scheduled academic program, and followed sign-in and sign-out procedures in the school office.
Student did not participate in a full, normally scheduled academic program, due to absence
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