Primary Reporting Form

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Due Oct 1 to your school district office (Superintendent's office or Homeschool Liaison).

Use this form the first time you report (when your child is 7 by Oct 1, or when you begin homeschooling if your children are older than 7) or if you move to a new school district.Your district may also require immunization documents and a form for reimbursement of testing fee, textbooks or workbooks (up to a maximum per child that changes from year to year). Check with your district or on their website for these additional forms.  

 

FOR THE FAMILY OF:

Parents:____________________________________________________________________

Address:____________________________________________________________________

City:________________________________ , MN                   Zip:_______________________

CHILDREN BEING HOMESCHOOLED:       Only children ages 7-16 on Oct 1 need to be reported.

Name                                                         birthdate                                                   Immuniz record attached

                                                                                                                                               

 

 

 

 

 

 

 

TESTING/ ANNUAL ASSESSMENT INFORMATION:

We will assume agreement on our testing choice unless we receive written notification from the superintendent’s office within 10 business days.

Administered by:________________________________________________________________

Location:_______________________________________________________________________

Children to be tested with this assessment:___________________________________________

(if different tests will be used for some children in the household, list all testing info here in the space below).

 

 

 

 

 

Homeschool reporting form. 1st time reporting/move to new district.