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Lake Local Schools Student Withdraw / Transfer Form
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* Indicates required question
Student Full Name
*
Your answer
Student's Current Grade
*
Your answer
Student's Date of Birth
*
MM
/
DD
/
YYYY
New Home Address
*
Your answer
Current Phone Number
*
Your answer
Last Date of Attendance at Lake
*
MM
/
DD
/
YYYY
Reason for Withdrawal
*
Moving Out of School District to another Ohio School
Moving out of State
Transferring to Online/Community School
Transferring to a Private School
Open Enrolling Elsewhere
Home School (Parent Educating - if remaining in the Lake District, you must compelete a Homeschool application and turn it into the Board Office)
Drop Out (applies to 18 yrs or older - must be accompanied by a letter stating student no longer wishes to pursue an education)
You must provide the name and address of the school you are transferring to. Please note that your student will not be withdrawn until a records request has been received from the new school.
Name of the school student is transferring to
*
Your answer
Address of the school student is transferring to
*
Your answer
By initialing below, I understand that I am responsible for paying any outstanding fees owed for my child and returning their chromebook, athletic uniform, books, band equipment etc., if it is the property of Lake Local Schools.
*
Your answer
Please type your full name below to act as your signature that the information provided by you is accurate
*
Your answer
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