JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
WCSD Online Student Withdrawal Form
If your child will not be attending WCPS/WCES/WCMS/WCHS in 2023-2024, please complete this form (1 form per child).
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Today's Date
*
MM
/
DD
/
YYYY
Which school is your child withdrawing from?
*
WCPS
WCES
WCMS
WCHS
Parent's Name:
*
Your answer
Parent's Contact Number:
*
Your answer
Student's Name:
*
Your answer
Date of Birth:
*
MM
/
DD
/
YYYY
Last grade level completed by your child (please select one):
*
Choose
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Reason for Withdrawal (please select one):
*
Transfer to another public school within GA
Transfer to Private School
Transfer Out of State
Student will begin a Home School Program
Enrolling within an alternative educational program
Other:
Required
Did your child receive any special services
*
Yes
No
Active IEP
504 Plan
ESOL Services
Gifted Services
EIP Services
Special Health Services
Yes
No
Active IEP
504 Plan
ESOL Services
Gifted Services
EIP Services
Special Health Services
What school will your child be attending in 2023-2024 (please enter new School's Name)
*
Your answer
Enter the address of your new school (Street/Mailing address, City, State and zip code)
*
Your answer
Telephone Number of your child's new school:
*
Your answer
Fax Number of your child's new school:
*
Your answer
If you have any questions/concerns, please enter here and your questions will be addressed by our office staff.
Your answer
Please enter full name of the person completing this form (E-Signature):
*
Your answer
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Wilkinson County Board of Education.
Report Abuse
Forms
