Homeschool Document Center
Sample Withdraw Letter
As a courtesy, you may contact your school building. All that is required is submission of affidavit and objectives to the school district.
Withdrawing before the school year starts:
Date
Dear (Official’s Name):
We are writing to inform you that our child(ren), (Child(ren)’s Names(s)), will not be reenrolling at (School Name) for the coming school year. He/she/they will instead be homeschooling according to Act 169. Please remove his/her/their names from your school records.
We will submit our affidavit and objectives to the school district in compliance with the homeschool law of Pennsylvania.
Thank you for your cooperation.
Sincerely,
(Your Name)
Withdrawing during the school year:
Date
Dear (Official’s Name):
We are writing to inform you that we are withdrawing our child(ren), (Child(ren)’s Names(s)), from (School Name) for the remainder of school year. He/she/they will instead be homeschooling according to Act 169. Please remove his/her/their names from your school records.
We will submit our affidavit and objectives to the school district in compliance with the homeschool law of Pennsylvania.
Thank you for your cooperation.
Sincerely,
(Your Name)
Affidavit and Unsworn Declaration
Provide state required paperwork for homeschooling by July 31st of the current year
(unless unenrolling mid year, then submit upon removal).
Required paperwork includes:
Objectives
Objectives: what you’re going to work on to achieve your goals
Health Forms
Health Forms
When you sign your affidavit, you are attesting that your child has received the required immunizations and age-appropriate health services, or qualifies for an exemption. You do not submit these records with your affidavit, but you should keep them with your homeschool records.
Immunization Records
OR Exemption Form

Medical Exams
OR Medical Exemption Form for your own records
Required for:
Initial Registration

Grades 6 and 11

Current Year’s Dental Records
OR a letter from dentist that the child has been seen
Required for:
Initial Registration

Grades 3 and 7

Portfolio Checklist
Your portfolio is a collection of records that documents your child’s learning throughout the school year. It is reviewed by your evaluator during your annual evaluation and should be kept with your homeschool records.
Elementary Portfolio Checklist
Grades K-6
☐ Attendance Record
180 instructional days or 900 instructional hours
☐ Reading Log
A contemporaneous log of reading materials used
☐ Work Samples
- Writings
- Worksheets
- Workbooks
- Creative projects
- Other examples of learning
☐ Standardized Test Results
Grades 3 and 5, if applicable
Secondary Portfolio Checklist
Grades 7-12
☐ Attendance Record
180 instructional days or 990 instructional hours
☐ Reading Log
A contemporaneous log of reading materials used
☐ Work Samples
- Writings
- Worksheets
- Workbooks
- Creative projects
- Other examples of learning
☐ Standardized Test Results
Grade 8, if applicable
Note: The law requires only these items to be maintained in your portfolio. Many families choose to include additional photos, field trips, awards, and projects, but these are optional.
Sample Transcript
A transcript helps families organize high school courses, credits, grades, and graduation records in one place. It can be useful for college applications, trade programs, jobs, scholarships, or simply keeping a clear record of your student’s high school work.
Highschool Diploma
Pennsylvania home education students can receive a parent issued high school diploma when they complete the required graduation credits and meet the requirements of the Home Education Law.












