Parent’s Name:

Street Address:

City, State, Zip Code:

Date:

Your District Superintendent:

Name of local School Board:

Address of School Board:

Superintendent {Name}:

This letter is to inform you that we will home school our children, listed below, during the 2020-2021 academic school year pursuant to all the applicable Kentucky Revised Statutes.

Names:                                                       Ages:

James Smith, Jr.                                        14

Sarah Smith                                               10

Anne Smith                                                  8

Our school is located in our home, at the above address. The school administration, on behalf of the students enrolled therein, expressly prohibit the release of any and all information contained in this notice, including directory information as defined in 20 U.S.C. § 1232g (a)(5)(A), without the prior written consent of parents of the students or of students who have reached the age of majority. See 20 U.S.C. § 1232g (a)(5)(B).

Thank you,

Signature

Parents Names

{FOR YOUR INFORMATION}

We recommend sending this letter via certified mail, return receipt requested. Keep the returned receipt in your files as proof that you sent the Letter of Notification. Do not send additional information like test scores, social security numbers, etc.