Notice of Intent • DBM Learning Academy (Universal)

Heads up: This is a universal template. Families must follow their own state/country rules, deadlines, and submission methods. DBM provides tools and records; this page is not legal advice.

Parent/Guardian Details

Parent/Guardian Name

Phone

Home Address

City, State/Province, ZIP/Postal

Recipient (optional but recommended)

Recipient Name

Recipient Title

District Name

Recipient Address

Student

Student Full Name

Date of Birth

School Year

Subjects (comma-separated)

Instruction / Hours Statement

Preview

Arizona

Fill the form and click Preview to see your Notice of Intent.

Tip: If your district has a specific form, attach this letter and their form together.

Teacher affirmation: You create clarity, set fair expectations, and help students win.

Notice of Intent (Universal)

Parent/Guardian Details

Recipient (optional but recommended)

Student

Preview

Notice of Intent to Provide Home Education