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Get AZ Affidavit of Intent to Homeschool - Maricopa County

AFFIDAVIT OF INTENT TO HOMESCHOOL Dr. Donald D. Covey Maricopa County Superintendent of Schools Maricopa County Education Service Agency STUDENT INFORMATION NAME DATE OF BIRTH LAST FIRST MIDDLE SCHOOL DISTRICT OF RESIDENCE PARENT/GUARDIAN INFORMATION HOME ADDRESS CITY ZIP ARIZONA STATE HOMESCHOOL LAWS FOR REGISTRATION AS PRESCRIBED BY THE ARIZONA REVISED STATUTES 15-802 A Every child between the ages of six and sixteen years shall attend a school and shall be provided instruction in at least the subjects of reading grammar mathematics social studies and science. The person who has custody of the child shall choose a public private or charter school or a homeschool as defined in this section to provide instruction* 15-828 B If a child is instructed at home pursuant to section 15-802 the person who has custody of the child shall within thirty days after the home instruction begins provide to the county school superintendent of the county in which the child resides one of the following 1. A certified copy of the child s birth certificate. 2. Other reliable proof of the child s identity and age including the child s baptismal certificate an application for a social security number or original school registration records and an affidavit explaining the inability to provide a copy of the birth certificate. 3. A letter from the authorized representative of an agency having custody of the pupil pursuant to title 8 chapter 2 certifying that the pupil has been placed in the custody of the agency as prescribed by law. I ELECT TO NOT BEGIN FORMAL EDUCATION UNTIL MY CHILD IS EIGHT YEARS OF AGE* AUTHORIZATION Subscribed and sworn or affirmed before me this STATE OF day of 20. COUNTY OF NOTARY SIGNATURE Submit this form either by mail or in person to the Homeschool Services Division at the address listed on the bottom of this page. An original birth certificate must be presented for registration* 4041 N* Central Avenue Ste. 1100 Phoenix AZ 85012 Phone 602-506-3866 Fax 602-506-3753 Homeschool Hotline 602-506-3144 www. The person who has custody of the child shall choose a public private or charter school or a homeschool as defined in this section to provide instruction* 15-828 B If a child is instructed at home pursuant to section 15-802 the person who has custody of the child shall within thirty days after the home instruction begins provide to the county school superintendent of the county in which the child resides one of the following 1. A certified copy of the child s birth certificate. 2. Other reliable proof of the child s identity and age including the child s baptismal certificate an application for a social security number or original school registration records and an affidavit explaining the inability to provide a copy of the birth certificate. A certified copy of the child s birth certificate. 2. Other reliable proof of the child s identity and age including the child s baptismal certificate an application for a social security number or original school registration records and an affidavit explaining the inability to provide a copy of the birth certificate. 3. A letter from the authorized representative of an agency having custody of the pupil pursuant to title 8 chapter 2 certifying that the pupil has been placed in the custody of the agency as prescribed by law. .

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