Sarah R. Hometeach

1234 Elm Street

Your Town, CO 80233

August 9,2005

Your School District

789 School Ave.

Your Town, CO 80223

To Whom It May Concern:

In accordance with Colorado Revised Statute 22-33-104.5, I am informing my Local School Disrtrict of my intent to educate my child(ren) at home for the 2005-2006 school year.

The name(s) and age(s) are as follows:

Robert J. Hometeach, 9.

Amy G. Hometeach, 7.

The child(ren) will reside at 1234 Your Street, Your Town, CO 80223. He/She (They) will each receive a minimum of 688 hours of instruction.

Sincerely,

Sarah R. Hometeach