Pennsylvania Homeschool Letter of Intent
This letter serves as a formal statement of intent to homeschool in accordance with the Pennsylvania Home Education Law, 24 P.S. § 13-1327.1. 
Please provide the following information to initiate the homeschooling process for your child(ren).
- Parent/Guardian Name: ___________________________
 
- Address: ___________________________
 
- City: ___________________________
 
- State: Pennsylvania
 
- Zip Code: ___________________________
 
- Email Address: ___________________________
 
- Phone Number: ___________________________
 
The following student information must be included:
- Child's Name: ___________________________
 
- Date of Birth: ___________________________
 
- Grade Level: ___________________________
 
This letter also serves to confirm that the above named parent/guardian has chosen to conduct a home education program for the mentioned child(ren) beginning on the following date: ___________________________.
The curriculum will align with the requirements set forth by the Pennsylvania Department of Education. The homeschooling program will be planned and executed to offer a comprehensive educational experience that is appropriate for the developmental needs of the student(s).
I understand the responsibilities that accompany homeschooling, including maintaining student records and submitting an annual evaluation as required by Pennsylvania law. 
By signing below, I acknowledge that the information provided in this letter is accurate and that I will uphold all obligations mandated by the state of Pennsylvania regarding home education.
Signature: ___________________________  Date: ___________________________