Family Exit Report
To be completed by the school for any family with a student who does not re-enroll or withdraws during the school year.

Complete ONE per family.

This survey should only be completed for families who attended your school. You do not need to complete a survey for prospective families who ultimately chose not to attend.

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Email *
Name of School *
When did this student withdraw or choose not to re-enroll? *
This survey should only be completed for families who attended your school. Do not complete a survey for prospective families who ultimately chose not to attend.
Date of Withdrawal:
If family withdrew during the school year.
MM
/
DD
/
YYYY
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