NON-PARENTAL AFFIDAVIT - Clayton County Public Schools

Academics, Accountability, AchievementI SOLEMNLY AFFIRM UNDER THE PENALTIES LISTED ABOVE THAT THE CONTENTS OF THISAFFIDAVIT ARE TRUE TO THE BEST OF MY KNOWLEDGE, INFORMATION, AND BELIEF.______________________________________Signature of Affiant (adult with whom the child is living)______________________________________Signature of Parent/GuardianName of Affiant (Adult with whom the child is living)PLEASE NOTARIZE(Please Print): .Sworn to and subscribed before me this ______day of________, 20____.Parent/Guardian/Enrolling Person Signature:.Notary Public: .Principal/Designee Signature: .CCPS3 7/21/2011 9:09 AM