Lake Local Schools Student Withdraw / Transfer Form
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Student Full Name *
Student's Current Grade *
Student's Date of Birth *
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New Home Address *
Current Phone Number *
Last Date of Attendance at Lake *
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Reason for Withdrawal *
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  Please note that your student will not be withdrawn until a records request has been received from the new school.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 *
Address of the school student is transferring to *
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. *
Please type your full name below to act as your signature that the information provided by you is accurate *
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