2020-21 Online Academy Withdrawal Form

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Please complete a separate form for each student that you are withdrawing from the Online Academy at North Hills.

Today's Date (MM/DD/YYYY) *

Student's Last Name *

Student's First Name *

Student's Grade in 2020-21 *

Student's School *

Parent/Guardian Name *

Parent/Guardian Phone *

Parent/Guardian Email *

I would like to withdraw my student from the North Hills Online Academy for the 2020-21 school year. *

Yes

Required

Submit

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