I have received the Okaloosa County School Board Policy and other relative information pertaining to compulsory school attendance law and Home Education Program.

Child's Name                                          Date of Birth                                        Last School Attended

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

Parent /Guardian Name ___________________________ Phone No.  ___________

Address ______________________City/State/ Zip__________________________

It is my legal responsibility to maintain a portfolio of records and materials.  The portfolio shall consist of a log made comptemporaneously with the instruction, which

 designates by title the reading materials used and samples an writings, worksheets, workbooks and creative materials used or developed by the student.  The portfolio shall be preserved by the parent for 2 years and shall be made available for inspection by the superintendent or designee, upon 15 days written notice. 

I understand that the school district cannot recommend materials, curriculum, or in anyway oversee a Home Education Program.  Home education students may participate in certain athletic/extracurricular activities as provided in policy and procedure of the School Board.

I understand that an annual educational evaluation must be completed (at the cost of the parent/guardian) and a copy submitted to the Home Education office prior to July 1 of each year, or written notice of specific date the evaluation will be received during the annual enrollment period. 

I understand that the School District of Okaloosa County does not accept students into first grade from a Home Education kindergarten program.

I understand that the School District of Okaloosa County does not accept credit toward graduation from a Home Education Program.  (Home Education students returning to school during the credit granting years (9-12) are classified as ninth grade students.)

I understand that should this program be terminated for any reason, a written notice of termination shall be filed with the school district within (30) days of  the termination date.

Parent/Guardian Signature ____________________________________________

Date________________________________________________________________

Mail to:  Home Education Department

                     120 Lowery Place S.E.

                     Fort Walton Beach, Fl 32548

                     Attention:  Home Education

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