Withdrawal Notification Form

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If you are withdrawing your student, please complete this form as soon as possible. Early notification is requested so that your child's records are prepared and sent to their new school before the 2022-2023 academic year begins. Someone from the school office will contact you with the next step in signing the Official Withdrawal forms.

Email *

Parent Name: *

Student Name: *

Grade Level for 2022-2023 school year: *

Name of school your child will be enrolling in: *

Location of school (City, State): *

Does your child currently receive Instructional Services? *

504

IEP

Dyslexia

None

Other:

Required

Schools will send a request to us for your child's official records and transcripts once he/she has been enrolled. In addition to this, will you require an unofficial transcript for personal records? (Please keep in mind that transcripts are for high school credits only.) *

N/A - My child has not earned high school credit yet.

Yes, my child has earned high school credit and I would like an unofficial copy for myself.

No, I do not require a personal copy. Send official transcripts directly to the new school.

Required

We are always sad to see any of our students leave, but understand that life happens and plans change. If so inclined, please let us know what has brought about your new journey.

Please use this section for any other information you would like to provide.

Send me a copy of my responses.

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