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Indian Creek ES Virtual Withdrawal Form 2020-21
Please fill out this form in its entirety. Important Note: All official records will be sent to the new school upon receiving their written request.
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* Indicates required question
Date of Withdrawal
*
MM
/
DD
/
YYYY
Student's Last Name
*
Your answer
Student's First Name
*
Your answer
Student's Date of Birth
*
MM
/
DD
/
YYYY
New Home Address (Street, City, State and Zip)
*
Your answer
Student's New School (Name of School)
*
Your answer
New School Address (City, State, Zip)
*
Your answer
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