Student Withdrawal Form - 20-21
This form needs to be completed if your child(ren) will NOT be returning to Mancos Schools this fall.
Student's Full Name *
First Middle Last
DOB *
DOB 00/00/0000
MM
/
DD
/
YYYY
Grade Going Into *
Use K for kindergarten and 1-12
School Going Into *
Last day of School Attendance
Last day of school in May was 5/21/2020
MM
/
DD
/
YYYY
Reason for leaving *
If moved, new address including city, state, & zip if known
Parent Phone # *
New School's Name
New School's City & State
New School's Phone #
Parent/Guardian Electronic Signature *
Parent/Guardian Email *
Provide email so we can send you a copy of this withdrawal form to take to the new school. If no email address, put n/a. Call new school to see when their registration is and their requirements. Be sure to take immunizations, birth certificate, and transcripts with you. Good luck in your new school!
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This form was created inside of Mancos Shool District Re-6. Report Abuse