Withdrawal Notification Form 20-21/21-22
Thank you for filling out the withdrawal notification for your child! We understand you may not have all the information yet, so please fill out the form to the best of your ability. If you have more than one child withdrawing and they are all going to the SAME school, you may fill out one form. If you have more than one child withdrawing and they are going to DIFFERENT schools, please fill out a separate form for each child. Families moving overseas: Your child's records will be prepared and you will be contacted when they are ready to be picked up. Families moving within the U.S.: Your child's records will be sent directly to the new school once we confirm enrollment. Please contact Emily Ward (emily.small@apsva.us) if you have any questions. *Please be sure to turn in your child's ipad/ charger and library books before you leave Ashlawn!
Student Name/s and Grade/s *
Student ID Number/s *
New School Name *
New School Complete Address AND Phone Number *
If you have the name and/or email of the registrar at the new school, please enter it here
Type of School (select all that apply) *
Reason you are withdrawing *
Withdraw Date (last day of distance/hybrid learning) *
Your new home address *
Parent email address *
Please type your name here; this will count as your official signature AND authorize us to send all records electronically once we confirm your child's enrollment at their new school. *
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