Withdrawal Google Form for 2026-27 school year

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Please complete this form online and then print and return it to your school office. Full withdrawal from the district will not be complete until the withdrawal process is complete and we have verified your child's enrollment at their new school. Please complete one form for each child withdrawing.

Email *

Name of parent/guardian completing this form *

Email of parent/guardian completing this form *

Phone number of parent/guardian completing this form *

Please select the school year *

2026-2027

Reason for withdrawal (Please note that these are the only reasons a student may be withdrawn from the school district. Please contact 440-356-6000 if you need assistance.) *

Entire family is moving

Student is moving to live with other parent/guardian

Student is going to attend a private school

Student is 18 years old and electing to work

Upon withdrawal from the Rocky River City School District, where will your child go to school? Select one of the following: *

Another Ohio public school

An Ohio private school

A school outside of Ohio

A school outside of the United States

An online school

I intend to home educate my child and will notify the Pupil Services Department as required by calling 440-356-6006

Student is 18 years old and electing to work

Student's Last Name *

Student's First Name *

Student's Current Grade *

Pre K

12+

Student's Date of Birth *

YYYY

Last day of attendance at the Rocky River City School District for this student *

YYYY

New address *

Name of new school *

Address of new school *

I understand that if a gap in attendance exists between the last day of this child's attendance in the Rocky River City School District and the date of enrollment at the new school, these days are considered unexcused absences and may lead to a truance referral. *

Yes, I understand

I understand that completing this form is not the only step to withdraw this child from the Rocky River City School District. I understand that I must contact the school office to complete the withdrawal process for this student. *

Yes, I understand

Parent/guardian's typed name indicating understanding of statement's above and attesting to the accuracy of the information provided above.

In the event you have a remaining balance on this child's lunch account, please indicate your desire below.

Transfer funds to another specific student (submit name to office)

Refund the money to the new address above

Donate the funds to students in need

Other:

Clear selection

Submit

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