Notice of Intent to
Pursuant to C.R.S. 22-33-104.5, we,
the undersigned parents and/or guardians, do hereby give notice to the
Superintendent of School District __________________________ that we
have established and are in charge and control of a non-public home-based
educational program.
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Our place of residence is:_______________________________________________
____________________________________________________________________
The number
of days of attendance for this school year is _________
(should be at least 172, averaging 4 hours per day.)
The test or evaluation results for our children will be submitted to:
_____________________________________________________ (name of school or
district) when they are tested or evaluated upon completion of grades three,
five, seven, nine, and eleven [*This response is only required the years
you plan to test or evaluate]
Signatures:
_____________________________________________________ Date: __________
_____________________________________________________ Date: ___________