Odyssey Online Learning Withdrawal Form 2023-2024
Please complete this form in its entirety to begin the withdrawal process for your student.
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What is today's date?  *
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What is the student's last name? 

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What is the student's first name?    *
What is the student's date of birth?   *
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What is the student's street address?  *
What is the student's city and state? *
What is the student's zip code?  *
Does your student have an IEP or 504?   *
What is the student's reason for withdrawal?   *
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