2024-2025 Official Notification of Withdrawal from Minnehaha Academy

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This form shall serve as Official Notification of Withdrawal for the child(ren) named below from Minnehaha Academy. REMINDER: Our Board policy states that all student accounts must be paid in full before official records, grade reports or transcripts can be released. Refunds, when applicable, will be processed in accordance with Minnehaha Academy's Tuition Refund Policy. NOTE: All iPads (including all accessories), books and other school-owned property must be returned to the school office before a refund will be processed. Additionally, all emails, data stored in Google Drive, and logins associated with the student's school account will no longer be accessible after the withdrawal date.

Any reservation deposit already paid is non-refundable.

Email *

Student Name *

Last Grade Attended: *

Last Day Attended: *

5/30/2024 (LS & MS End of Term)

5/31/2024 (US End of Term)

Other:

Parent Name(s) *

Student(s) Full Address (if moving, please provide new address) *

School student(s) will be attending *

Reason For Withdrawal and Other Comments *

Parent Attestation *

By checking here and submitting this form, I/we attest that I/we wish to officially withdraw the child(ren) named above from Minnehaha Academy and that I/we have read and understand Minnehaha Academy's Tuition Refund Policy.

Required

Name of Parent Completing This Form *

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Minnehaha Academy. Report Abuse

Forms