CCPS Student Withdrawal Request Form
Parent(s)/Guardian(s)/Caretaker(s) requesting to withdraw their student(s) from school must answer all questions on the Clayton County Public Schools Official Withdrawal Request form. The withdrawal process may take longer if your student (s) have outstanding fees or school equipment. Upon submitting this request form, your student(s) must return, directly to their school, all of his/her textbooks, library books, uniforms, technology, musical instruments, and/or any other equipment provided to them by their school. Failure to return the previously mentioned will result in a delay in the withdrawal process.

Only the parent(s)guardian(s)/caretaker(s) who enrolled the student(s) may withdraw the student(s). Clayton County Public Schools must have a copy of your driver’s license or other state issued ID to begin the withdrawal process.
Email address *
Date of Request *
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Student Name *
Date of Birth *
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Current Grade Level *
Student's School Identification Number *
Please Select the Reason for Withdrawing Your Student *
Name & Address, City & State of New School *
New Student Address, City & State *
Withdrawing Person(s) Name *
Address, City & State *
Home Number *
Work Number *
Email Address *
Time of Form Submission *
Time
:
OLR Staff Approval ONLY (Applicant DO NOT COMPLETE)
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