Pupil Leavers Form
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Child's Name *
Date of Birth *
Child's Class *
Please confirm your child's last day of school *
Reason for leaving *
Name and address of new school *
New home address (if applicable)
Your Name *
Your relationship to child *
Your signature *
By electronically signing and submitting this form you are confirming all information on this form is correct.
Your email Address *
Date *
Submit
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