Request edit access
Withdrawal and Record Release Form                                       Diamond Middle School
If you are moving out of Lexington or moving to a private school, please fill out the information below.
Sign in to Google to save your progress. Learn more
Email *
Students Name:
Grade:
Date of Withdrawal:
MM
/
DD
/
YYYY
School Name and Address Transferring To:
Send Records to New School:
New Address ( if moving ):
Comments:
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Lexington Public Schools.

Does this form look suspicious? Report