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Get FL LCS Lake County Home Education Registration 2010-2022

Please provide the following information required by law and/or necessary to maintain your records. Information on sex and race is being requested by the Florida Department of Education for statistical use only. CHILD’S NAME (Please Print) BIRTHDATE RACE/ GENDER GRADE LAST SCHOOL ATTENDED SSN (Optional) Parent/Guardian Name: (Please Print) Mailing Address: Number, Street, or P.O. Box City/State Zip Code Number, Street, or P.O. Box City/State Zip Code Street Address: (If Different).

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