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PCA SY 25-26: Request to Withdraw
If you would like to withdraw your student from Pecos Cyber Academy, you must complete the form below. Please submit one form per student. 
Person completing the withdrawn form must be the student's Legal Guardian.
If you are withdrawing to homeschool your student, you MUST provide evidence of NMPED homeschool registration prior to withdrawal.

Once you submit a withdraw, the following will happen:

**NOTE:  Students who are withdrawn from the school, whether by Guardian or Pecos Cyber Academy, will not be eligible for re-enrollment for at least six (6) months after the withdrawal date.  
Students must obtain approval from a School Administrator in order to re-enroll within six (6) months of the last withdrawal date.
  • The student will be withdrawn from Pecos Cyber Academy.
  • Student will lose their current enrollment seat. 
  • Student may lose learning time if they don't have a next school lined up after leaving PCA.
  • **The student MUST reapply if they want to come back to PCA at https://pecoscyber.org/enroll-now-1
  • Student will NOT be automatically reactivated by calling the teacher or school. **PCA will not allow any students to come back by request without a new application after a withdraw request is submitted. 
  • The student will be moved to the bottom of the waitlist for re-enrollment.
  • The student may lose learning time.
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Email *
Legal Guardian Last Name, First Name *
Address *
Telephone Number *
Student Last Name, First Name *
Grade Level *
Date of Birth *
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Student ID
Date of Your Student Withdrawal *
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DD
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YYYY
Next School Information - Type of School your student will attend. *
Next School Information - Please provide the name of the school your student will be attending along with the city and state of the school.  *
Reason for Withdrawal *
Required
Please add other comments you would like to share with Pecos Cyber Academy.
Legal Guardian Signature (By signing your name electronically, you are agreeing that your electronic signature is the legal equivalent of your manual signature.) *
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