NOTICE OF INTENT TO HOMESCHOOL We, the undersigned parents and/or guardians, do hereby serve notice to the Superintendent of School District ______ that we have established and are in charge and control of a non-public home-based educational program pursuant to C.R. S. 22-33-104.5  Children's Names Children's Ages ________________________________________________________ ________________________________________________________ ________________________________________________________ ________________________________________________________ ________________________________________________________ ________________________________________________________ Our place of residence is: ________________________________________________________ ________________________________________________________ The number of hours of attendance for this school year is _________  (688 is the minimum)  The test or evaluation results for our children will be submitted to: _________________________ (name of school or district) when they are tested or evaluated upon completion of grades three, five, seven, nine, and eleven  Signatures: ______________________________________ Date: __________ ______________________________________ Date: ___________