Algonquin Regional HS Withdrawal Form
On behalf of the Algonquin community we'd like to wish you and your family well. Students leaving Algonquin are responsible for completing the withdrawal process. Please complete the form below in its entirety.

If you have not already done so, you must return all educational materials. Students' are responsible for returning all school issued textbooks, technology such as: Chromebook/Wifi devices, library books, and athletic equipment. They are also responsible for any outstanding activity and/or parking fees.

Students/parents must complete this process prior to records being forwarded to the new school.

Please complete the form below and contact your guidance counselor if you have any questions.
Email address *
Name: *
Student Id: *
Year of Graduation: *
Current Address: *
Town: *
Required
Best phone number to contact you at: *
Counselor *
Required
Date of Withdrawal *
Reason of Withdrawal *
Name and Address of New School *
New Residence Address
Student Signature (By signing you understand it's your responsibility to return all course books, technology ie: Chromebook/Wifi, library books, and athletic equipment. You're also responsible for any outstanding activity and/or parking fees.) *
Parent Signature (By signing you understand it's your student's responsibility to return all course books, technology ie: Chromebook/Wifi, library books, and athletic equipment. Your student is also responsible for any outstanding activity and/or parking fees.) *
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This form was created inside of Northborough Southborough Schools.