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Student Withdrawal Form - 20-21
This form needs to be completed if your child(ren) will NOT be returning to Mancos Schools this fall or are withdrawing during the school year.
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* Indicates required question
Student's Name
*
First Middle Last
Your answer
DOB
*
00/00/0000
MM
/
DD
/
YYYY
Grade
*
Use K for Kindergarten and 1-12
Your answer
School Going Into or Currently Enrolled At
*
Elementary School
Middle School
High School
Last day of School Attendance
Last day of school in May was 5/21/2020
MM
/
DD
/
YYYY
Reason for leaving
*
Your answer
If moved, new address including city, state, & zip if known
Your answer
Parent Phone #
*
Your answer
New School's Name
Your answer
New School's City & State
Your answer
New School's Phone #
Your answer
Fees, Items Due, or Need to be Returned to School
We will need the student's chromebook returned along with any fees due, books, equipment, sport uniform, band instruments, etc. Return them to the applicable building office(s).
Parent/Guardian Electronic Signature
*
Your answer
Parent/Guardian Email
*
Provide email so we can send you a copy of this withdrawal form to take to the new school. If no email address, put n/a. Call new school to see when their registration is and their requirements. Be sure to take immunizations, birth certificate, and transcripts with you. Good luck in your new school!
Your answer
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This form was created inside of Mancos Shool District Re-6.
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