Withdrawal Form

Name of parent or legal guardian(Required)

First Last

Date(Required)

Phone(Required)

Email(Required)

My child(ren)'s last day at Community Christian School will be:(Required)

Reason for withdrawal(Required)

As part of this process, I understand that all financial oblications will be settled and resolved by the date of withdrawal.(Required)

I will settle all financial obligations before withdrawal date.

As part of this process, I understand that all property, e.g. textbooks, Chromebooks, etc., lent to the student must be returned upon withdrawal. I understand taht I am responsible for the cost of any unreturned item and that the school may act and bill for any loss of property.(Required)

I will return all school property upon withdrawal.

Student name 1(Required)

First

Do you have another child withdrawing 1(Required)

Yes

No

Student name 2

First

Do you have another child withdrawing 2

Yes

No

Student name 3

First

Do you have another child withdrawing 3

Yes

No

Student name 4

First

Do you have another child withdrawing 4

Yes

No

Student name 5

First

My child will be enrolled in:(Required)

Independent school in Ontario

Independent school in another province

Home schooling

Public school in Onatrio

Public School in a different province

Catholic school in Ontario

Catholic school in another province

School outside of Canada

Transfer to hospital or other institution

Address of new school so they can receive student records(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone number of new school

Email of new school

Signature of parent or legal guardian(Required)

Notice of Withdrawal from School