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Student Withdrawal Form-Vintage Hills
Hello Vintage Hills Elementary School families:
Please complete this form if your student is exiting Pleasanton Unified School District.
You must submit one form for each child that you are requesting to exit PUSD.
Please return any borrowed computers, library books or other school items to the front office on or before your last day of school.
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Student's Teacher Name
Last Day (Date) at Vintage Hills
Reason For Withdrawal
Transfer to private school
Transfer to another district in California
Transfer out of state
Transfer outside of USA
Transfer to Homeschool Program
New school name, street address, city and state AND phone number
Thank you for letting PUSD know that you have enrolled your child in another school district or your family no longer resides in Pleasanton. As of the date provided above, your student will be unenrolled from PUSD. Please know that if you return to the Pleasanton Unified School District, Board Policy 5116: School Attendance Boundaries may dictate the placement of your student. Enrollment in your student’s resident school is not guaranteed and places in classrooms or programs will not be held.
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Pleasanton Unified School District.