Student Withdrawal
When students and their families decide that the Academy is not an appropriate fit, we are required to document information regarding the student withdrawing. We also ask that families share why they are leaving so we can work to address concerns and improve our school.

Completing this form with a valid email is a binding electronic signature indicating you agree to withdraw you student from the Academy.
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Email *
Student Name
Withdrawal Date
MM
/
DD
/
YYYY
Current Address
New Address (if applicable)
New School
Reason for leaving the Academy
If your family has a remaining balance for food service or other Academy fees, who should the check be made and mailed to?
Your student's new school will likely request a transcript and discipline record. Can we send those to the email listed on this form?
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