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Get Notice of Intent to Provide Home Instruction 2008-2024

to provide home instruction must complete Section I of this form. Parents seeking a RELIGIOUS EXEMPTION must complete Section II of this form. SECTION I I am providing notice of my intention to provide home instruction for the child(ren) listed below as provided by § 22.1-254.1 of the Code of Virginia, in lieu of having them attend school for the school year 20_____ - 20______. Name(s) of Child(ren) Date of Birth Grade Level I wish to be recognized as eligible to provide home instruction .

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