Home School Intent to Terminate

Bay District Schools

Division of Teaching and Learning

INTENT TO TERMINATE HOME SCHOOL ENROLLMENT

 Printable Intent to Terminate Form

Dear Superintendent:

I am terminating my child’s Home School enrollment in Bay County, Florida. I will enroll my student within 3 days in a public, private, or virtual school in accordance with Florida Statute 1003.21.

Student’s Name: ______________________     Date of Birth: _____________________________

Termination Date: _____________________    Current Grade: ____________________________

Check the reason for termination of Home School below (only one):

_____ My child has been or will be enrolled in _________________________________________

_____ My child has reached the age of sixteen (16) and is no longer compulsory school age.

_____ My child will no longer reside in Bay County, Florida.

 New residing county and/or state will be: ________________________________________

Other: ____________________________________________________________________

  _________________________________________________________________________

__________________________________________________________________________

_________________________________________                          ________________________

Parent/Guardian Signature                                                                  Date

Return to:

Bay District Schools Home Education Department

Attn: Homeschool

1311 Balboa Ave,

Panama City, FL 32401

homeschool@bay.k12.fl.us 

(850) 767- 4122