Notice of Termination of Home Education Program
FLORIDA PUBLIC SCHOOL DISTRICT:
In compliance with Florida Statute 1002.41(1)(a), this letter serves as notification of our
intent to terminate as of the Home Education Program of the
following student(s):
FULL NAME BIRTHDATE
REASON FOR TERMINATION: Student(s) enrolled at FREEDOMSCHOOLERS ACADEMY
(#6686), a private school registered with the FLDOE , on .
Anne-Marie Shaffer, Owner/Administrator
31 Freeland Ln, Palm Coast, FL 32137 Phone: 386-320-6131
PARENT/GUARDIAN SIGNATURE DATE
PARENT/GUARDIAN PRINTED NAME
Please submit any questions concerning our termination of our Home Education Program
in writing to:
This form was provided by Freedomschoolers Academy for use by new
Freedomschoolers Academy enrollees.
