2024-2025 LCA/ELC Withdrawal Form
This form must be filled in and submitted in order for your withdrawal request to be considered. Please be aware of withdrawal policy deadlines below. Please submit one form per student being withdrawn.
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Email *
Student Last Name *
Student First Name *
2024-2025 Student Grade *
Last day of Attendance *
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Reason for withdrawal request *
If other, please list reason:
Have you had a conference with your student's principal with regards to your withdrawal? *
2024-2025 ELC Withdrawal Policy
2024-2025 Domestic Withdrawal Policy 

The withdrawal policy is initiated when the Parent or Financially Responsible Party completes a withdrawal form and submits it to the manager of the Office of Student Accounts (OSA). Failure to complete the withdrawal process with the Manager of the OSA may hinder the release of student transcripts and other records. Completion of official withdrawal requires fulfillment of all financial obligations owed to LCA by the parent or Financially Responsible Party under this contract. The Parent or Financially Responsible Party will be responsible for all or a portion of the tuition and fees per the chart below:
2024-2025 LCA International Withdrawal Policy
* Should the LCA Administration dismiss or administratively withdraw a student due to a discipline/behavioral issue (as reflected in the LCA Student Handbook), the Parent or Financially Responsible Party will be liable for the full tuition amount for the school year under this Contract.
Consent Statement
In withdrawing my student, I understand that I am responsible for all financial obligations as stated in the LCA Contractual Agreement which I have signed. I further understand that academic transcripts cannot be released until all outstanding obligations are met.
E-signature of Parent/Guardian *
E-sign Verification
The application of your e-signature on this form represents your actual signature as if it was applied to a paper form.
Date *
MM
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DD
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A copy of your responses will be emailed to the address you provided.
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