Student Withdrawal/Transfer Information
PARENTS/GUARDIANS: Complete this form if your child is exiting the HUUSD altogether. Information requested is necessary for the State Board of Education.

*NOTE: Students who will home school but still attend an HUUSD school for π™€π™£π™š 𝙀𝙧 π™’π™€π™§π™š classes DURING THE SCHOOL DAY (even an elective) should 𝗑𝗒𝗧 complete the form.
Sign in to Google to save your progress. Learn more
Email *
Student Name *
(Last, First)
School *
Grade at Time of Withdrawal/Transfer *
If during the summer, enter the grade just completed.
Student Address *
Street, Town, Zip
Date of Entrance *
MM
/
DD
/
YYYY
Date of Withdrawal/Transfer *
MM
/
DD
/
YYYY
Reason for Withdrawal/Transfer *
My child will exit fully but still participate in extracurricular activities (e.g., sports, theatre). *
School transferring to
Address of school transferring to
Street, Town, State, Zip
By signing this form, I (parent/guardian) agree that:
Please check each box to indicate your agreement.
Parent/Guardian Signature *
Your typed signature will serve as your legal signature.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Harwood Unified Union School District. Report Abuse