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KHS Transfer/Withdrawal Form
* MUST RECEIVE REQUEST FROM TRANSFER SCHOOL TO RELEASE RECORDS *

* PLEASE RETURN ALL ITEMS PERTAINING TO KHS IN A TIMELY MANNER*
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Email *
Students First Name: *
Students Last Name: *
Student ID Number: *
Grade: *
Transferring to: *
Date of Withdrawal/Drop: *
MM
/
DD
/
YYYY
Reasoning: *
Required
The Following need to be returned before official withdrawal from school and release of records:
Laptop and accessories
Classroom textbooks
Library books
Fines/fees still due
Row 1
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Request for Refund on "My School Bucks"
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Parent/Guardian Name As Authorization *
Comments:
A copy of your responses will be emailed to the address you provided.
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