Withdrawal Form MASTER.pdf - 01/2019 WITHDRAWAL FORM (To be...

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01/2019WITHDRAWAL FORM(To be completed by a parent/guardian)Today’s Date: 6/1/2021Student Name: Alexandra Karob-VolpinaWithdrawal Date: 6/1/2021Current Grade: Grade 10Reason for Withdrawal: Failed a course, and was asked to leave the program.My child will be transferred to:Florida Public SchoolNew School Name: Coral Springs High School or Marjory Stoneman Douglas (waitlisted)District/County: Broward CountyCity: Coral SpringsState: FloridaCountry: AmericaWithdrawal Procedure:When possible, parent(s)/guardian(s) shall notify the school in writing at least one week in advance of a student’s withdrawal. Student records will beforwarded to their new school once the withdrawal procedure has been completed.Middle School Students are expected to clean out their lockers and return combination locks.Student books, materials, or outstanding fees are due to the school by withdrawal date. Student records will be held if these items are not received.Refund requests may be emailed to[email protected]

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Coral Springs High School

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