5113.2  Appendix A

ANNUAL NOTIFICATION OF PARENTAL OBLIGATIONS

UNDER C.G.S. 10-184

Dear (Parent Name),

Connecticut law requires that the                                                          Public Schools provide you with this written notice of your obligations under Connecticut General Statute 10-184. This law provides that each parent or other person having control of a child five years of age and older and under eighteen years of age is obligated to cause the child to attend school regularly during the hours and terms school is in session, unless such parent or other person shows that the child is elsewhere receiving equivalent instruction, or that the child has graduated from high school or that the child age or seventeen has withdrawn from school with the written permission of the parent or person having control of such child.  Connecticut General Statute 10-185 provides that each day’s failure to comply with these requirements is a separate offense, punishable by a $25.00 fine.

Regular student attendance is essential to the educational process. So that we may seek to inform you if your child is absent without explanation, the law also requires that we obtain from you a telephone number or other means of contacting you during the school day. Please meet this obligation by filling out and promptly returning the form below.

Thank you for your cooperation.

Sincerely,

Principal

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                                                                        FATHER                                         MOTHER

__________________________                    ___________________                  ___________________
Mother's Name (please print)                            Address                                            Address

__________________________                    ___________________                  ___________________
                                                                         Home Phone                                    Home Phone

__________________________
Father's Name (please print)                              ___________________                  ___________________
                                                                          Work Address                                 Work Address

Name(s) of student(s):                                        ___________________                  ___________________
                                                                           Work Phone                                   Work Phone

__________________________                    ___________________                  ___________________
                                                                         Emergency Phone #1                        Emergency Phone #2
__________________________                      (Relative, Friend, Neighbor)