Roselle Public Schools- Withdrawal/Transfer Request Form - 2023 - 2024
Dear Parent, in order to ensure that your child(ren)'s information is provided to you in a timely fashion, please complete this Withdrawal Request Form (1 per child). Upon it's completion, you will be emailed the electronic documents required for registration at your child's new school.

PLEASE NOTE THAT WE WILL NEED TO VERIFY YOUR GUARDIANSHIP BEFORE THE REQUEST IS PROCESSED.
1. Please provide this request using an email address we currently have on file
2. Please send a copy of your photo ID when you are contacted by the school secretary.

Thank you for entrusting us with the education of your child(ren).
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Email *
The school from which you will withdraw your child. *
Student's Last Date of Attendance from Roselle Public Schools.  *
MM
/
DD
/
YYYY
Name of Parent(s) Guardian(s)
Your forwarding address:
Contact Phone Number:
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