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Saltar's Point Withdrawal Form
Please fill out this form if you are withdrawing your student.
If you checked out a Chromebook and have not returned it yet, please contact the District Enrollment Office at
enrollment@steilacoom.k12.wa.us
to set up a date/time to return it.
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* Indicates required question
Email
*
Your email
Student Name
*
Your answer
Student's grade and teacher
*
Your answer
Date of Withdrawal
*
MM
/
DD
/
YYYY
Reason for withdrawal
*
Moving
Homeschool
Online School
If moving - please state name of school, city and state
Your answer
If there is a balance remaining on your student's food service account would you like a refund, or would you like to donate to the school food account?
Refund
Donate
Other:
Clear selection
Parent's name and forwarding address
*
Your answer
Today's date
*
MM
/
DD
/
YYYY
Send me a copy of my responses.
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