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Get Clackamas Ed Home Intent Form

Ce District Home School 13455 SE 97th Ave, Clackamas, OR 97015 (503) 675-4031 1. School Year: This form is designed to satisfy the Notification requirements as set forth in OAR 581-21-0026(4). Refer to Oregon Administrative Rules. 2. Name of Child: First Middle 4. Date of Birth: 3. Grade:* Last 5. Male: 6. Female: *(If no grade is indicated, a grade for this student will be assigned based on standard age/grade tables) 7. Name of Parents/Guardians: 8. Mailing Addres.

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