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Letter of Intent Template 3

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Letter of Intent Template 3
Letter of Intent Template 3
Letter of Intent Template
Remember, these questions should serve as guidelines only. Feel free to adapt
this outline to reflect your own priorities and family circumstances.
LETTER OF INTENT FOR
Date revised:
General information
Full name of child:
Are there any other names you or your child have used throughout his or her lifetime
under which your child’s information may be listed or records might be kept
Current address and phone number:
Child’s former addresses and phone numbers:
Date of birth:
Family Information
Two people who know the most information about your child
1. Name, address and phone number
2. Name, address and phone number
Siblings (addresses and contact information):
Stepparents (current or previous):
Former Spouses of Parents:
Letter of Intent Template 3
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