RHL Student Withdrawal Request
Please fill out this form to request that your student be withdrawn from River HomeLink. Please fill out one form per student. The registrar will contact you within 1 school day to confirm withdrawal.
Student last name: *
Your answer
Student first name: *
Your answer
Student date of birth: *
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Student grade: *
What will the last date of attendance be at RHL? *
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Where will this student attend school? Please enter the name of the school, or home school. *
Your answer
Parent/guardian who is authorizing this withdrawal from RHL (first and last name please): *
Your answer
Parent/guardian email address: *
Your answer
Please type parent/guardian name to indicate agreement to return any books/materials to RHL prior to or on student's last day. If home based, please enter N/A. *
Your answer
Please type parent/guardian name to indicate agreement to complete a monthly progress review for the current month prior to or on student's last day. Please contact student's consultant about this. If home based, please enter N/A. *
Your answer
Because we are always looking for ways to improve the experience at RHL, we would like you to answer one final question. What is the primary reason that you are withdrawing your student from RHL?
Your answer
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