CCS Intent to Withdraw form
Complete this form by March 15th, 2026 for any student not reenrolling for the 2026-2027 school year to avoid non refundable enrollment and student fees.
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Email *
Students First Name
Students Last Name *
Parent / Guardian completing this form *
Parent/Guardian contact number and email *
My Child will not be returning for the 2026-2027 school year *
Required
Please Explain the reason for the Withdraw *
Students Current Grade *
Have you discussed this decision with a school administrator? if so, whom? *
Required
I understand my Student's Records, Including report cards and transcripts, will not be released until all school property including chromebooks and chargers are returned and all unpaid fees are paid.  Fees include but are not limited to tuition, aftercare, lunch, athletic, and field trips. 
( Parent E-signature) 
 *
At this time, I do not want Registration fees processed. I understand that if we choose to enroll at a later date, increased enrollment fees will apply and enrollment would be subject to availability. Some classes are near capacity. (parent/gradian signature) *
Date *
MM
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DD
/
YYYY
Disclaimer
The content of this form was created by Coosa Christian. the date you submit this form will be sent to the owner of the form. All information on this form will be held in complete confidentiality and is strictly for office use only.  
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