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Transfer Form
Please fill out the form if you are moving, or transferring your child to another school. If you fill out this form, you are stating that your child will not be attending Dirksen for the 2021-2022 school year.
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* Indicates required question
Email
*
Your email
Student's Name
*
Your answer
Student's Room Number
*
Your answer
Student's Date of Birth
*
MM
/
DD
/
YYYY
Parent's Name
*
Your answer
Parent's Phone Number
*
Your answer
Are You Moving?
*
Yes
No
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