2020 Notification of Withdrawal Form
Please complete this form if your child will be withdrawing from D.J. Bakie School. A form should be completed for each child leaving.
Email *
Student First Name *
Student Last Name *
Student Date of Birth *
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Current Grade *
Teacher Name *
Does your child have an IEP or 504 plan? *
Name of School Transferring To *
City/Town *
State *
Zip Code
Last day of attendance at Bakie *
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Parent/Guardian Signature *
By entering your name in the box below, you are effectively providing your signature indicating that you have completed this form. Please enter your first and last name in the box below.
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